A Hybrid Lesion of the Mandible with Three Co-existent Pathologies: Report of a Rare Case with Literature Review

Abstract

Hybrid lesions are rare and microscopically composed of areas of distinct pathologic entities. The occurrence of dual lesions containing Central Giant Cell Lesion (CGCL) and fibro-osseous lesions has been recorded in the literature. Although many similar cases have been reported the pathophysiology of such lesions is yet not well understood. Furthermore, their clinical behaviour and treatment guidelines are also not clearly outlined. Presented here is a unique case of a 17-years old male with a hybrid lesion with a triad of pathological entities, Ossifying fibroma, CGCL and aneurysmal bone cyst. The clinical presentation, pathogenesis and behaviour of the reported lesion are comprehensively explained. The authors believe that greater knowledge of the hybrid variety of jaw lesions may aid in better understanding and management of these lesions by clinicians.