A 17-year-old has multiple radiolucencies in both jaws, palmar pits, several basal cell carcinomas and calcification of the falx cerebri. The jaw lesions are most likely which of the following?

  • Correct answer

    Odontogenic keratocysts

  • Dentigerous cysts

  • Ameloblastomas

  • Central giant cell granulomas

This question is one of 15 in AFK practice: Oral medicine, pathology and radiology. Test yourself on all of them.

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Explanations

  • Multiple odontogenic keratocysts are a major feature of nevoid basal cell carcinoma (Gorlin) syndrome, along with basal cell carcinomas, palmar pits and falx calcification. Multiple giant cell lesions suggest cherubism or other syndromes, not this one.

    Source: Neville et al., Oral and Maxillofacial Pathology — oneguy

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