A 10‑Month history of Swelling in the Mandible : A Part from The Book Chapter : Multiple Myeloma: A Recent Update

A 72‑year‑old male patient presents to the department with a 10‑month history of swelling in the mandible. The swelling had gradually increased in size over time with progressive loss of teeth. No associated tenderness was present. He also had a tender swelling in the left lower leg, for the past 6 months. His medical history was unremarkable. On extra‑oral examination, a solitary well‑defined swelling measuring approximately 9 × 8 cm, was present extending across the midline, in the body of the mandible. On palpation, it was non‑tender and hard. There were no palpable lymph nodes. Intraoral examination revealed multiple mobile teeth in the lower arch, missing lower left canine, and a diffuse swelling was present extending from the left lower second molar to the right lower first molar region, obliterating the buccal and the lingual vestibule. The surface of the swelling was irregular and lobulated, showing multiple dilated vessels. On palpation, it was nontender, soft to firm in consistency. Another solitary swelling approximately measuring 8 × 5 cm was present in the left lower leg. On palpation, it was nontender, hard, and was not mobile.

Author(s) Details:

Divya Vinayachandran,
Department of Oral Medicine and Radiology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Sibyl Siluvai,
Department of Public Health Dentistry, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

V. Kalaivani,
Department of Periodontology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Prashanthi Gurram,
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Lakshmi Rathan A. C.,
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

Suresh Mitthra,
SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur-603203, Chennai, Tamil Nadu, India.

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