PMC5681010_01
Clinical intraoral photograph showing exposed tumor in the maxillary region
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The swelling crossed the midline, extending from the right canine region to the left incisor region of the gum-pad (Figure 1), measuring 3cm by 4cm.
Pigmented granules seen during surgery
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Intra-operatively, access was gained through the labial mucosa, revealing blackish granules (Figure 2).
Post-operative photograph after wide excision
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The operator decided against a Weber-Ferguson approach as cosmesis was important to the mother and the labial approach provided good access (Figure 3).
Histological section of the lesion showing nest of pigmented cells (arrow) within the connective tissue (H&E x10)
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Histopathology of the excised tissue revealed pigmented cells in nests and islands, with some cleft formation (Figure 4, Figure 5).
Histological section showing nest and island of tumor cells with cleft formation (arrow) (H&E x40)
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Histopathology of the excised tissue revealed pigmented cells in nests and islands, with some cleft formation (Figure 4, Figure 5).
Occipito-mental view of the skull showing anterior-maxillary region
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There is currently no evidence of recurrence at two years following resection (Figure 6, Figure 7).
Patient 2 years post-excision
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There is currently no evidence of recurrence at two years following resection (Figure 6, Figure 7).