PMC3283966_01
Clinical photographs (a, b and c ) and Intraoral Photograph (d) of patient
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F1
Intraoral examination revealed that the buccal sulcus on both sides was obliterated and there was expansion of the buccal cortical plates [Figures 1a-d].
OPG showing multiple cystic lesions, three in maxilla and four in mandible
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F2
Orthopantomogram (OPG) was advised which revealed multiple round to oval radiolucencies which were suggestive of multiple cystic lesions [Figure 2].
CT scan brain showing calcification in falx cerebri
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F3
An X-ray of the skull revealed calcification of falx cerebri [Figure 3] and a chest X-ray showed fused ribs [Figure 4].
Chest X-ray showing fusion of 3rd and 4th ribs on left side
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F4
An X-ray of the skull revealed calcification of falx cerebri [Figure 3] and a chest X-ray showed fused ribs [Figure 4].
Intraoperative photographs
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F5
Intraoperative photographs and photographs of excised tissue are shown in Figures 5 and 6, respectively.
photographs of excised tissue
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F6
Intraoperative photographs and photographs of excised tissue are shown in Figures 5 and 6, respectively.
H and E stained photomicrographs of OKC [10x (a) and 40x (b and c)]
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F7
Underlying connective tissue capsule was loose fibrocellular, with supporting vasculature, extravasated blood elements, strands, and nests of odontogenic epithelium [Figures 7 a-c]. In all seven cysts, histopathologic features were suggestive of OKC [Figure 7].
Ki 67 immunopositive
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F8
Ki 67 immunohistochemical staining was done which was positive (25%) [Figure 8].