PMC5043390_01
Radiograph at presentation.
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Orthopantomogram showed an irregular well defined 4.5 cm x 2.5 cm radiolucency extending from the lower left second premolar to the lower right canine roots (Fig. 1).
Giant cell lesion.
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Histology confirmed a recurrent giant cell granuloma (Fig. 2).
Granular cell tumour.
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However, Histology of the second lesion in the lower right incisor region was reported as a granular cell tumour (Fig. 3).
Recurrent granular cell tumour.
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This new mucosal lesion was excised under local anaesthetic and demonstrated a recurrent granular cell tumour on histopathology (Fig. 4).
Granular cell tumour.
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Histology demonstrated features of fibrosis only in the bony cavity, and features of granular cell tumour in the soft tissues specimen(Fig. 5).
(One year follow up radiograph since the last surgery).
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A year later orthopanotomogram showed very good bony fill of the lesions (Fig. 6).