PMC3304187_01
Intraoral view
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F1
Intraoral examination showed nontender soft tissue swelling measuring 2.5 x 4 cm in dimension, extending from left maxillary canine to second molar teeth, crossing the midline [Figure 1].
CT scan coronal view
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F2
Computed tomography (CT) of maxillary region revealed irregular lobulated lesion of soft tissue density arising from hard palate opposite left maxillary canine to second molar teeth and crossing the midline, measuring approximately 24 x 15 x 40 mm size and infiltrating the adjacent bone [Figures 2 and 3].
CT scan axial view
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F3
Computed tomography (CT) of maxillary region revealed irregular lobulated lesion of soft tissue density arising from hard palate opposite left maxillary canine to second molar teeth and crossing the midline, measuring approximately 24 x 15 x 40 mm size and infiltrating the adjacent bone [Figures 2 and 3].
CT scan abdomen showing metastasis
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F4
Histopathologic findings showed malignant neoplasm covered by stratified squamous epithelium showing flattening of rete ridges and focal ulceration [Figure 4].
Histopathology of the lesion
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F5
L4 to S1. L1 vertebral body was collapsed causing compression over conus medullaris with intramedullary compressive myelopathic changes extending from L1 to L2 level and extradural compression of cauda equina [Figure 5].