A Puzzling Chin Lesion

A 42-year-old woman presents with a painful chin swelling. With no recent Trauma or fever, what could be the surprising underlying cause of this facial lesion?

Odontogenic cutaneous fistula


A previously healthy 42-year-old woman presented to the dental clinic with a 6-month history of swelling and pain on the right side of her chin (left). She reported no history of chin trauma, tooth pain, or fevers, but did recall injuring her right lateral incisor 10 years prior. Palpation of the lesion caused pain and serosanguinous fluid drainage. Intra-oral examination showed discoloration of the right lateral mandibular incisor (right). What is the most likely diagnosis?

What is the most likely diagnosis?

Odontogenic cutaneous fistula
Osteosarcoma
Pilar cyst
Sebaceous cyst
Squamous cell carcinoma

Dental infection, Dermatology, Facial swelling, Odontogenic cutaneous fistula, Sinus tract

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