PMC8407635_01
Intra oral view shows extension of lesion (a and b)
AMS-11-140-g001.jpg
PMC8407635_01_AMS-11-140-g001.jpg
F1
It was multinodular, fixed, nontender, firm in consistency and overlying mucosa appeared inflamed [Figure 1].
Computed tomography scan shows bucco-palatal extension of lesion and osteolytic destruction of the upper right maxillary alveolus with ill-defined margin which extending into the right maxillary sinus area (a and b)
AMS-11-140-g002.jpg
PMC8407635_01_AMS-11-140-g002.jpg
F2
Contrast enhanced computed tomography (CT) revealed ill-defined tumour mass with internal calcification, involving posterior half of upper right alveolus, projecting along antero-inferior aspect of right maxilla without crossing the midline [Figure 2].
Intraoperative view shows specimen (a) residual cavity (b)
AMS-11-140-g003.jpg
PMC8407635_01_AMS-11-140-g003.jpg
F3
Surgery was planned under general anaesthesia after biopsy confirmation of chondroma, where wide excision and infrastructural maxillectomy was performed intraorally [Figure 3].
Obturator given
AMS-11-140-g004.jpg
PMC8407635_01_AMS-11-140-g004.jpg
F4
The surgical defect was secondarily closed with medicated gauze pack placed under palatal surgical splint fabricated preoperatively [Figure 4].
Photomicrograph showing the presence of increased proliferation of chondrocytes within lacunae with increased nuclear atypia (H and E; original magnification, x10)
AMS-11-140-g005.jpg
PMC8407635_01_AMS-11-140-g005.jpg
F5
Tumour cells were arranged in lobulated architecture with abundant cartilaginous matrix separated by fibrovascular stroma suggestive of moderately differentiated chondrosarcoma-Grade II [Figure 5].