Objective

This article discusses the differential diagnosis of an unusual lesion found in the mandible of an adult male individual (late 19th to early 20th century).

Materials

A cranium from the Identified Skulls Collection Escolas Médicas of the University of Coimbra, Portugal.

Methods

Macroscopic analysis, conventional radiography.

Results

Macroscopically, a conspicuous osteolytic lesion was identified in the middle vestibular area of the mandible. The conventional radiography examination revealed a multilocular and non-expansive lesion, with undefined contours and irregular walls.

Conclusions

These characteristics are compatible with a benign lesion, possibly an ameloblastoma or an odontogenic keratocyst.

Significance

The present work contributes substantially to the knowledge of the development of cystic and tumour lesions in the past and generates a broader body of knowledge about these lesions.

Limitations

Destructive methods were not authorized.

Suggestions for Further Research

In the future, computed tomography scans and 3D reconstruction analysis, not performed in the current study, may add new and valuable information.

中文翻译：

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来自葡萄牙科英布拉的 20 世纪早期成年男性可能患有成釉细胞瘤

客观的

本文讨论了在成年男性个体（19 世纪末至 20 世纪初）下颌骨中发现的异常病变的鉴别诊断。

材料

来自葡萄牙科英布拉大学的已识别头骨收藏Escolas Médicas的头盖骨。

方法

宏观分析，常规射线照相。

结果

宏观上，在下颌骨的中前庭区发现了一个明显的溶骨性病变。常规 X 线检查显示多房且非扩张性病变，轮廓不明确，壁不规则。

结论

这些特征与良性病变相符，可能是成釉细胞瘤或牙源性角化囊肿。

意义

目前的工作极大地促进了过去囊性和肿瘤病变发展的知识，并产生了关于这些病变的更广泛的知识体系。

限制

破坏性方法未获授权。

进一步研究的建议

将来，当前研究中未进行的计算机断层扫描和 3D 重建分析可能会增加新的有价值的信息。