PMC4065454_01
(a and b) Clinical image shows bilateral diffuse enlargement, which was more prominent on right side of face. (c and d) Clinical image shows no disturbance of occlusion and no midline shifting
JOMFP-18-84-g001.jpg
PMC4065454_01_JOMFP-18-84-g001.jpg
F1
A 13-year-old female child of non-consanguineous parents, youngest of siblings [Figure 1a and b] reported to our department with a complaint of painless, progressive and bilateral enlargement of lower face and jaws. Swelling on the right side was slightly larger as compared with left [Figure 1a and b]. There was no disturbance in occlusion or shift in midline [Figure 1c and d].
Panoramic radiograph showing diffuse multiple cystic areas involving body, ramus, angle and coronoid process of mandible
JOMFP-18-84-g002.jpg
PMC4065454_01_JOMFP-18-84-g002.jpg
F2
The tooth bud of mandibular left second permanent molar was seen floating in multilocular radiolucent areas conferring so called 'floating tooth' appearance [Figure 2].
Posterio-anterior view of skull shows multilocular radiolucency extending bilaterally on both sides of mandible
JOMFP-18-84-g003.jpg
PMC4065454_01_JOMFP-18-84-g003.jpg
F3
(a-c) CT 3D reconstruction image shows osseous expansile lesion
JOMFP-18-84-g004.jpg
PMC4065454_01_JOMFP-18-84-g004.jpg
F4
Multiple cystic/lucent areas were seen within the lesion, which contains low attenuation materials [Figure 4a-c].
(a-d) Different CT axial sections from symphysis, body, ramus and angle region
JOMFP-18-84-g005.jpg
PMC4065454_01_JOMFP-18-84-g005.jpg
F5
Different CT-Axial sections from symphysis region, body, ramus and angle of mandible were taken [Figure 5a-d].
(a and b) Histopathological images showing multinucleated giant cells with spindle cells arranged in bundles (H&E stain, x400 and x100, respectively)
JOMFP-18-84-g006.jpg
PMC4065454_01_JOMFP-18-84-g006.jpg
F6
It also showed an eosinophilic perivascular cuffing of collagen [Figure 6a and b].