CASE HISTORY / CLINIC:
Patient with increasing pains on the right side of the lower jaw. Ulcerated area with granulation tissue and consolidated tissue are visible and palpable on inspection.


FINDINGS:
The contrast-enhanced axial CT scan of the lower jaw (upper left image) demonstrates a prominently contrast-enhancing mass lesion around the right side of the lower jaw.
The CT scan at a more inferior position reveals a
pathologic lymph node located anteriorly to the right submandibular gland (upper right image).
The bony erosion is well seen in the bony window image (lower image).


DIAGNOSIS:
Mandibular carcinoma with bony invasion.


DIFFERENTIAL DIAGNOSIS:
Other malignant tumors of the mouth floor.



Web resources:

1) Amersham Health
2) Medecoinfo