PMC8272493_01
Clinical presentation of peripheral pedunculated lesion with a broad base along with central lesion of mandible
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F1
On examination, the lesion was a broad based pedunculated firm gingival swelling measuring 3 cm x 2 cm x 1.5 cm with smooth margins extending from 31 to 35 and obliterated the lingual vestibule in that region [Figure 1].
(P)-showing the peripheral excised specimen. (C)-Showing the central excised specimen
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F2
The specimen marked P/peripheral (3 cm x 2 cm x 1.5 cm) revealed a firm whitish hard mass while the central/C specimen (2 cm x 1.5 cm x 0.5 cm) was grayish, soft and cystic [Figure 2].
Left to right. (a) Peripheral lesional tissue section showing whorls, tubular and rosette like pattern and dystrophic bone formation (H&E, x10). (b) Peripheral lesional tissue section showing perivascular hyalinization (H&E, x40). (c) Peripheral lesional tissue section showing inflammatory cells, dense collagen bundles, large amounts of eosinophilic fibrinous deposits and odontogenic clear cells (H&E, x10). (d) Central lesional tissue section showing cystic lining and discrete epithelial islands (H&E, x10)
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F3
Deeper sections also showed discrete epithelial islands with definite whorls, rosettes and duct-like patterns [Figure 3].