PMC3307211_01
Extra-orally the swellings appeared ovoid in shape, with well-defined borders.
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F1
There was a difference in the ocular levels, right eye being at a slightly higher level [Figure 1].
The orthopantamograph revealed multiple impacted teeth in the mandilble (red arrows) with multiloculated osteolytic lesions involving mandible and maxilla (blue arrows).
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F2
The orthopantamograph revealed multiple impacted teeth in the mandible, with multiloculated osteolytic lesions involving the entire body as well as the ramus of the mandible sparing the condyles [Figure 2].
3-Dimensional computed tomography scan showing multiloculated cystic lesions affecting the body and rami of the mandible (blue arrows) and maxilla with raised orbital floor (red arrows).
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F3
The lesion caused marked expansion of the bones, with a multifocal cortical breakthrough [Figure 3].
Microscopy revealed highly cellular stroma consisting of plenty of multinucleated giant cells (black arrow). The cellular stroma consists of spindle cell fibroblasts with vesicular nuclei arranged in fascicles (blue arrow).
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F4
There was no evidence of atypia [Figure 4].
Surgical specimen showing decorticated and curetted material along with impacted teeth.
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F5
Specimen was sent for final histopathological examination [Figure 5].
Two-year postoperative follow-up photograph with acceptable esthetics.
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F6
Patient had no recurrence of the lesion during the 2-year follow-up period [Figure 6].