A 25 year old male patient reports with bony expansile swelling of the right body of the mandible & mild paresthesia of the right IDN. OPG shows a multi locular radiolucency without root resorption. What would be your choice of next investigation?

Correct answer: B. Aspiration Cytology

  • A. Excision biopsy
  • B. Aspiration Cytology
  • C. CT Scan
  • D. Pet Bone scan

Explanation

Aspiration is the safest next step for a large multilocular radiolucency because it can identify blood, pus or cystic fluid and help exclude a vascular lesion before biopsy. CT is useful for mapping the lesion but does not replace initial aspiration.

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