PMC5784283_01
Computed tomography scan showing lytic lesion in mandible
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F1
Computed tomography imaging was asked for and it showed an expansile lytic lesion in midline of the mandible causing erosion of the cortex with extension into the soft tissue in gingivobuccal sulcus [Figure 1].
Fine-needle aspiration cytology smears showing many multinucleate giant cells (Leishman, x400)
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F2
Cytology smears were hemorrhagic but moderately cellular which showed many multinucleated osteoclast-like giant cells along with few spindled cells [Figures 2 and 3].
Fine-needle aspiration cytology smears showing multinucleate giant cells amidst hemorrhagic background (Papanicolaou, x400)
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F3
Cytology smears were hemorrhagic but moderately cellular which showed many multinucleated osteoclast-like giant cells along with few spindled cells [Figures 2 and 3].
Histopathology of parathyroid adenoma (x400)
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F4
PA was made, and parathyroid tumor was excised and sent for histopathological examination showing features consistent with PA [Figure 4]. Postoperatively, there was fall in serum parathormone levels and calcium levels.