case_images: PMC5925163_01
case_images: Clinical picture: slight asymmetry with swelling on the right side of the face.
case_images: CRID2018-6814803.001.jpg
case_images: PMC5925163_01_CRID2018-6814803.001.jpg
case_images: fig1
case_images: This swelling has caused slight asymmetry of the face since 6 months, which gradually enlarged up to the present size (Figure 1).
case_images: PMC5925163_02
case_images: PMC5925163_03
case_images: Clinical picture: a bulbous mass of 4 x 4 cm in the vestibule on the right side, extending from the distal aspect of 44 to the 47.
case_images: CRID2018-6814803.002.jpg
case_images: PMC5925163_03_CRID2018-6814803.002.jpg
case_images: fig2
case_images: Intraoral examination revealed a 4.0 x 4.0 cm bulbous mass hard to palpation arising from the mandible and extending from the distal aspect of the lower right first premolar (44) to the second right molar (47) (Figure 2).
case_images: Panoramic radiography showing unilocular radiolucency close to the 46.
case_images: CRID2018-6814803.003.jpg
case_images: PMC5925163_03_CRID2018-6814803.003.jpg
case_images: fig3
case_images: Roots erosion of the relative tooth was noted (Figure 3).
case_images: Computed tomography scan: axial views showing multiloculated ground-glass ossification of the lesion.
case_images: CRID2018-6814803.004.jpg
case_images: PMC5925163_03_CRID2018-6814803.004.jpg
case_images: fig4
case_images: Biopsy specimen.
case_images: CRID2018-6814803.005.jpg
case_images: PMC5925163_03_CRID2018-6814803.005.jpg
case_images: fig5
case_images: PMC5925163_04
case_images: PMC5925163_05
case_images: PMC5925163_06
case_images: Parathyroid technetium scintiscan (99mTc Sestamibi; Technetium-99 MIBI; methoxy-isobutyl-isonitrile) showed increased uptake of the radiocontrast agent observed in the left lower parathyroid.
case_images: CRID2018-6814803.006.jpg
case_images: PMC5925163_06_CRID2018-6814803.006.jpg
case_images: fig6
case_images: Sestamibi; Technetium-99 MIBI; methoxy-isobutyl-isonitrile) was requisite and revealed left lower parathyroid adenoma (Figure 6). Skeleton exploration was done by technetium 99 scintigraphy and did not reveal any abnormally high uptake.
case_images: PMC5925163_07
case_images: Clinical and radiological control at the 6 month with good mucosal and bone healing.
case_images: CRID2018-6814803.007.jpg
case_images: PMC5925163_07_CRID2018-6814803.007.jpg
case_images: fig7
case_images: The patient was compliant and presented a favorable evolution (Figure 7).