PMC4857690_01
A 45-year-old female patient presenting with diffuse swelling over left side of face
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F1
Left submandibular lymph node was firm, nontender, and not fixed [Figure 1].
Well defined gingival mass over left posterior teeth region
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F2
The occlusal surface of the lesion had indentations of the corresponding mandibular posterior teeth [Figure 2].
Histopathology is suggestive of atypical lymphoid cells arranged in diffuse sheets in a delicate connective tissue stroma containing scattered hemosiderin pigmentation
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F3
Few enhancing nodes were noted in left level IB, II, and largest measuring 12 mm x 7 mm [Figure 3].
Radiographs suggestive of irregular bony destruction in maxillary left posterior teeth region. Well defined enhancing soft tissue lesion involving left maxillary alveolus and gingivobuccal sulcus, causing erosion of posterolateral wall of left maxillary sinus and extending into the left nasal cavity can be appreciated
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F4
Histopathology from biopsy tissue revealed diffusely arranged sheets of atypical lymphoid cells in a delicate connective tissue stroma containing scattered hemosiderin pigmentation [Figure 4].