Odontogenic myxoma with rare sunburst periosteal reaction: report of two cases and review of the literature.

Anne Evelyn Oliveira Moura, José Erivaldo da Silva Mendes, Elaine Judite de Amorim Carvalho, Fábio Abreu Alves, André Caroli Rocha, Danyel Elias da Cruz Perez

Abstract readCase ReportsReview

PubMed Full text at PMC Publisher

In one paragraph

Review in Oral radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anne Evelyn Oliveira MouraOral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil. aeomoura@gmail.com.

José Erivaldo da Silva MendesOral Pathology Unit, Department of Clinical and Preventive Dentistry, Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil.

Elaine Judite de Amorim CarvalhoOral Pathology Unit, Department of Clinical and Preventive Dentistry, Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil.

Fábio Abreu AlvesStomatology Department, A. C. Camargo Cancer Center, São Paulo, Brazil.

André Caroli RochaStomatology Department, A. C. Camargo Cancer Center, São Paulo, Brazil.

Danyel Elias da Cruz PerezOral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Odontogenic myxoma (OM) is a benign tumor originating from odontogenic ectomesenchyme. While this tumor displays imaging variability, the sunburst appearance is uncommon and can resemble malignant lesions. In this report, we present two cases of OM exhibiting an imaging sunburst appearance, besides a literature review. A 35-year-old woman and a 21-year-old woman presented with mandibular swelling. Imaging exams revealed extensive radiolucent/hypodense images, with the presence of a sunburst periosteal reaction. The main diagnostic hypothesis for both cases was osteosarcoma. Incisional biopsies were performed, with definitive diagnosis of OM. The first patient underwent simple surgical excision, while the second underwent en bloc resection. Neither patient experienced recurrence during the follow-up period of three and one year after treatment. Odontogenic myxoma should be considered in the differential diagnosis of jaw lesions presenting a sunburst periosteal reaction, as this atypical imaging pattern may mimic aggressive or malignant conditions.

Indexed as

Mandibular NeoplasmsMyxomaOdontogenic TumorsAdultDiagnosis, DifferentialFemaleHumansPeriosteumTomography, X-Ray ComputedYoung AdultDiagnostic imagingDifferential diagnosisQdontogenic myxomaSunburst periosteal reaction

Identifiers

PMID42018241

DOI10.1007/s11282-026-00925-7

PMCPMC13619749

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.