PMC5824512_01
Clinical image showing extra oral view depicting swelling on the right side of the face with asymmetry
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F1
The color of the skin over the swelling is normal with the surrounding skin [Figures 1 and 2].
Lateral view showing a single diffuse swelling on right side of the face
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F2
The color of the skin over the swelling is normal with the surrounding skin [Figures 1 and 2].
Clinical image shows intra oral view with obliteration of the buccal vestibule
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F3
Orthopantamogram showing mixed radiolucent radio opaque lesion
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F4
Orthopantomograph revealed mixed radiolucent and radio-opaque appearance with ill-defined periphery extending from midline to 47 region to the inferior border of the mandible [Figure 4].
Histopathological image showing odontogenic epithelial islands arranged as thin cords (H&E, x100)
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F5
Microscopic examination of incisional biopsy showed odontogenic epithelial islands arranged as thin, long cords of different sizes and shapes in a desmoplastic connective tissue stroma [Figure 5].
Histopathological image showing compression of odontogenic epithelial islands due to extensive stromal desmoplasia (H&E, x200)
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F6
At higher magnification, peripheral layer of cuboidal cells present occasionally with hyperchromatic nuclei and central area showing cystic degeneration are shown in Figure 6.
Gross specimen
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F7
The gross specimen was glistening, reddish brown in color indicating extensive vascularity, firm in consistency and measuring 7 cm x 5 cm [Figure 7].
Histopathological image showing odontogenic epithelial islands with a prominent vascular component (H&E, x100)
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F8
Microscopic examination showed odontogenic epithelium arranged as anastomosing cords and sheets seen with a prominent vascular component containing numerous blood-filled areas [Figure 8].
Histopathological image showing typical plexiform ameloblastomatous component interspersed with large blood filled spaces (H&E, x200)
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F9
The vascular component showed numerous endothelial lined channels and large blood-filled spaces with engorged red blood cells in the stromal component [Figures 9 and 10].
Histopathological image showing ameloblastomatous component with endothelial lined channels and engorged red blood cells (H&E, x400)
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F10
The vascular component showed numerous endothelial lined channels and large blood-filled spaces with engorged red blood cells in the stromal component [Figures 9 and 10].