Author/Authors :
Sasankoti Mohan, Ravi Prakash Kothiwal Dental College and Research Centre, Moradabad - Moradabad - Uttar Pradesh, India , Gill, Navneet College of Dental Sciences and Research Centre - Bopal - Ahmedabad, India , Verma, Sankalp Kothiwal Dental College and Research Centre, Moradabad - Moradabad - Uttar Pradesh, India , Rao Chawa, Venkateshwar Kothiwal Dental College and Research Centre, Moradabad - Moradabad - Uttar Pradesh, India , Tyagi, Kuber Teerthankar Mahaveer Dental College - Moradabad - Uttar Pradesh, India , Agarwal, Neha Kothiwal Dental College and Research Centre, Moradabad - Moradabad - Uttar Pradesh, India
Abstract :
The incidence of multiple myeloma (MM) affecting the jaws is 30% and on rare occasions the oral
involvement can be the first indication of the disease. Authors report a case of MM in a 40-yearold
woman who presented with a multilocular radiolucent lesion in the left mandible initially
mistaken as an ameloblastoma. Conventional radiographs revealed a multilocular lesion on the
molar region. Computed tomography (CT) and 3 dimensional CT revealed lytic, space occupying
lesion perforating the inferior cortex. Magnetic resonance imaging (MRI) revealed a hypointense
lesion on T1 weighted image and hyperintense lesion on T2 weighted image. Histopathological and
lab investigations lead to the diagnosis of MM. MRI is superior in depicting the size of the lesion as
compared to CT and conventional radiographs.