저작근 공간을 침범한 하악골내 신경섬유종 |
김은경1, 한원정2, 최진우3, 김학선4 |
1단국대학교 치과대학 영상치의학교실 2단국대학교 치과대학 영상치의학교실 3단국대학교 치과대학 영상치의학교실 4단국대학교 대학원 치의학과 |
Intraosseous neurofibroma of the mandible involving masticator space |
Eun-Kyung Kim1, Won-Jeong Han2, Jin-Woo Choi3, Hak-Sun Kim4 |
1Department of Oral and Maxillofacial Radiology, College of Dentistry, Dankook University 2Department of Oral and Maxillofacial Radiology, College of Dentistry, Dankook University 3Department of Oral and Maxillofacial Radiology, College of Dentistry, Dankook University 4Department of Dentistry, Graduate School, Dankook University |
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Abstract |
Neurofibroma is a benign, heterogenous peripheral nerve sheath tumor arising from the connective tissue of peripheral nerve sheaths, especially the endoneurium. Its intraoral occurrence is uncommon and its occurrence within mandible is extremely rare. A case of solitary intraosseous neurofibroma of the mandible involving masticator space in a 8-year-old male is reported. He was referred from a private local clinic with a chief complaint of limitation in opening of the mouth. Panoramic and cone-beam computed tomographic images showed unilocular radiolucent lesion with scalloped border at the right mandibular ramus, connected posteriorly to the enlarged mandibular foramen and anteriorly to the mandibular canal. T1-weighted magnetic resonance images showed soft tissue mass of isointensity compared with muscles. Contrast-enhanced T1-weighted images showed peripheral enhancement and T2-weighted images showed the heterogeneous hyperintense mass with extension between lateral and medial pterygoid muscles. The tumor was surgically removed under general anesthesia and diagnosed to be neurofibroma at the biopsy. |
Key Words:
Solitary neurofibroma;Magnetic resonance image;Cone-beam computed tomography;Mandible;Masticator space; |
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