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Dentistry · Dental materials and radiology: sunray appearance
Sample itemA teenager has a rapidly enlarging painful jaw swelling. A radiograph shows an ill-defined lesion with spiculated periosteal new bone radiating outward. Which tumour is likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Osteosarcoma
Osteosarcoma of the jaw can show a sunburst pattern of periosteal new bone with widening of the periodontal ligament space. Treatment involves wide surgical resection and chemotherapy.
Option by option
A. Torus mandibularis
A torus is a benign bony exostosis.
B. Osteosarcoma (correct)
Correct. A sunray periosteal reaction suggests osteosarcoma.
C. Fibrous dysplasia
Fibrous dysplasia shows a ground glass pattern with no periosteal reaction.
D. Ameloblastoma
Ameloblastoma is a multilocular radiolucency without sunray spicules.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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