Ghadhab Nawres, Zaghden Olfa, Jaziri Rawia, Kammoun Rym, Chaabani Imen, Alaya Touhami Ben
Department of Radiology, University Dental Clinic, 5000 Monastir, Tunisia.
The Research Unit of Bioactive Natural Substances and Biotechnology, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia.
Radiol Case Rep. 2025 Aug 8;20(11):5466-5473. doi: 10.1016/j.radcr.2025.07.021. eCollection 2025 Nov.
Simple bone cysts (SBCs) are benign, non-neoplastic bone lesions characterized by a single-cavity osteolysis, often discovered incidentally on panoramic radiographs. This article presents three cases of mandibular SBCs with distinct clinical and radiological features, emphasizing their diagnostic challenges and the role of imaging in differential diagnosis and follow-up. The first case involves a 22-year-old female patient with pulsatile mandibular pain, highlighting the lesion's evolution over 3 years and postsurgical follow-up for 2 years. The second case concerns a 27-year-old patient incidentally diagnosed during prosthetic rehabilitation, underlining the differential diagnosis with periapical cysts and cementoblastomas. The third case describes a 45-year-old patient with a painful left parasymphyseal swelling, highlighting the importance of clinical and radiological correlation. These cases illustrate the variability in SBC presentation and the necessity of imaging for accurate diagnosis and long-term management.
单纯性骨囊肿（SBCs）是一种良性、非肿瘤性骨病变，其特征为单腔性骨质溶解，常在全景X线片上偶然发现。本文介绍了3例具有独特临床和放射学特征的下颌骨SBCs病例，强调了其诊断挑战以及影像学在鉴别诊断和随访中的作用。第一例涉及一名22岁女性患者，伴有搏动性下颌疼痛，重点介绍了该病变3年的演变过程及术后2年的随访情况。第二例是一名27岁患者，在义齿修复过程中偶然被诊断出来，强调了与根尖囊肿和成牙骨质细胞瘤的鉴别诊断。第三例描述了一名45岁患者，左侧下颌骨旁正中出现疼痛性肿胀，突出了临床与放射学相关性的重要性。这些病例说明了SBCs表现的变异性以及影像学对于准确诊断和长期管理的必要性。
