PMC7433956_01
Preoperative extraoral profile
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F1
On extraoral examination, facial asymmetry noted with a single diffuse swelling on the right middle face [Figure 1].
Preoperative intraoral image
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F2
Intraoral examination revealed a solitary, well-defined swelling obliterating the vestibule and extending from the right maxillary central incisor region (11) to the right maxillary second premolar region (15) posteriorly [Figure 2], associated with the swelling on palatal aspect.
Computed tomography scan (axial cut)
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F3
The CT scan showed well-defined soft-tissue solid hypodense lesions with osteolytic destruction involving the alveolar process of maxilla extending to the lower lateral aspect of the nasal cavity [Figures 3 and 4]. Skin and subcutaneous tissue overlying the mass was intact [Figure 3].
Computed tomography scan (coronal cut)
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F4
The CT scan showed well-defined soft-tissue solid hypodense lesions with osteolytic destruction involving the alveolar process of maxilla extending to the lower lateral aspect of the nasal cavity [Figures 3 and 4].
Intraoperative image
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F5
Under local anesthesia, a cravicular approach was made and surgical excision of the tumour was performed [Figure 5].
Postoperative extraoral profile
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F6
Postoperative recovery was uneventful [Figure 6].
Microscopic view showing dense proliferation of fibro-collagenous tissue among which are seen areas of bony trabeculae lined by plump osteoblasts
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F7
Stroma also consists of numerous multinucleated giant cells, blood vessels, and inflammatory cells [Figures 7-9].
Proliferating fibroblastic tissue with blood vessels and osteoid showing plump osteoblastic rimming
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F8
Stroma also consists of numerous multinucleated giant cells, blood vessels, and inflammatory cells [Figures 7-9].
High-power view showing focus of proliferating fibroblastic cells with few specs of calcification (psammamatoid type)
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F9
Stroma also consists of numerous multinucleated giant cells, blood vessels, and inflammatory cells [Figures 7-9].