PMC6388332_01
Intraoral photography before surgery. The image shows no symptoms such as redness or swelling of mucosa in the mandible.
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An intraoral examination also confirmed the absence of redness and tender swelling of the left mandibular mucosa (Figure 1).
Panoramic dental radiography before surgery. The image shows extensive multilocular radiolucent area with imprecise borders and "soap bubble appearance".
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Panoramic radiography revealed an extensive multilocular radiolucent area with imprecise borders and a "soap bubble appearance" (Figure 2).
Computed tomography (CT) image before surgery. The axial (a) and coronal (b) CT images show tumor infiltration of cortical bone extending to the inferior mandibular border.
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Computed tomography showed an approximately 39 x 19 x 11 mm tumor that extended to the roots of four teeth (#33 - 36; Figures 3(a) and 3(b)).
Surgical procedures and resected specimen. The total enucleation and wide curettage of the surrounding bone (a) and resected specimen (b).
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The surgery consisted of extracting the second premolar from the left mandible, followed by total enucleation and vigorous curettage of the bone (Figure 4(a)). The surgical specimen (Figure 4(b)) revealed apparently benign, spindled-shaped cells in a loose and abundant mucoid stroma (Figures 5(a) and 5(b)).
Pathophysiological findings of stained specimen. Hematoxylin and eosin stain x100 (a) and x400 (b) magnification.
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The surgical specimen (Figure 4(b)) revealed apparently benign, spindled-shaped cells in a loose and abundant mucoid stroma (Figures 5(a) and 5(b)).
Images of the jaw at 96 months after surgery. The panoramic dental radiograph (a) and computed tomography image (b) show no signs of recurrence.
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Annual follow-up for eight years included panoramic X-rays and CT imaging (Figures 6(a) and 6(b), respectively), which showed no clinical or radiological signs of recurrence.