PMC5325494_01
PMC5325494_02
Pre-operative intra-oral view
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Intra-oral examination revealed a diffuse swelling in the left maxilla and buccal vestibule, extending from 23 till the 26 region (Figure 1).
Maxillary true occlusal radiograph showing expansion of buccal cortical plate in region of 23, 24, 25 and 26
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A maxillary true occlusal view showed a unilocular radiolucent lesion in the 23, 24, 25, 26 region causing expansion of the buccal cortical plate in the affected area (Figure 2).
Panoramic radiograph showing an oval-shaped unilocular radiolucency with thin corticated borders extending from 23 to 26 regions
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There was no evidence of root resorption or displacement of 23 or 26 (Figure 3).
Photomicrograph showing a cystic lesion with papillary projections lined by pseudostratified columnar epithelium with some mucous pools and pseudoglandular areas (a) H&E stain at 10x magnification, (b) H&E stain at 40x magnification
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Histopathological examination showed a cystic lining with a pseudoglandular pattern in some areas, with other areas showing a pseudostratified columnar ciliated epithelium with goblet cells, some mucous pools / crypts (Figure 4).
Post-operative intra-oral view
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The patient has been under regular follow-up for the last 2 years, during which time no recurrence has been noted (Figure 5, Figure 6).
Post-operative panoramic radiograph
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The patient has been under regular follow-up for the last 2 years, during which time no recurrence has been noted (Figure 5, Figure 6).