PMC6410386_01
Extra oral photograph.
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On extra oral examination, there was difference in relationship of two sides of face due to swelling noted on right side, which was measuring approximately 4 cm x 9 cm in diameter, extending superiorly from zygomatic arch and infra orbital margin inferiorly to lower border of mandible (Figure 1).
Panoramic radiograph.
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A multilocular pattern was seen on panoramic radiograph extending from right mandibular symphysis to the right condylar region, and there was a loss of continuity in lower border of mandible suggestive of pathological fracture (Figure 2).
CT of axial section.
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Axial CT section showed opacification of entire mandible on right side with destruction of condyle and lower border of mandible (Figure 3).
Histological picture.
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An incisional biopsy of section showed islands of ameloblastic epithelial cells with long columnar and stellate reticulum cells with reversal polarity in the nest suggestive of follicular ameloblastoma (Figure 4).
Hemimandibulectomy.
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Treatment was scheduled for surgical resection under general anesthesia with right hemimandibulectomy (Figure 5).
Excised tissue.
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Final histopathological examination reports of excised tumor mass confirmed to be follicular ameloblastoma (Figure 6).