PMC5917515_01
Extraoral swelling on the face
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F1
A 13-year-old male patient [Figure 1] reported to the Outpatient Department of Sharad Pawar Dental College and Hospital, Sawangi (Meghe), Wardha, with a chief complaint of swelling with pain for 1 month.
Picture showing intraoral swelling on the left side of the palate
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F2
Intraorally, a single-diffuse swelling seen in upper left palatal region of the jaw of size 4 cm x 3 cm approximately, roughly oval in shape, surface was ulcerated, color was same as that of adjacent mucosa, the swelling was extending A/P - from upper left 1-7 region, S/I - from mid-palatal region to depth of vestibule with ill-defined borders [Figure 2].
Orthopantomogram showing no relevant findings
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F3
Orthopantomogram did not show any relevant findings [Figure 3].
Low-power view showing sheets of uniform, monotonous round cells separated by thin connective tissue septa at places
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F4
Under microscopic examination, low-power view showed sheets of uniform, monotonous round cells separated by thin connective tissue septa at places [Figure 4].
Picture showing diffusely arranged round cells throughout
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F5
The round cells are diffusely arranged throughout [Figure 5].
Picture showing round cells with hyperchromatic nuclei occupying the entire cell. Nuclear pleomorphism is also seen at places
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F6
At places, cells show nuclear pleomorphism [Figure 6].
Picture showing leukocyte common antigen-CD-45 positive
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F7
Leukocyte common antigen/CD45 came out positive suggesting the diagnosis of lymphoma [Figure 7].
Picture showing CD3 positive
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F8
CD3 and CD20 markers were applied for T-cell and B-cell lymphoma, respectively. CD3 came out positivity suggesting the final diagnosis of T-cell lymphoma [Figure 8].