PMC2837896_01
(a) External features of 22-year-old female exhibiting a swelling on the left cheek. (b) Swelling over the left anterior surface of the maxilla protruding on the upper left vestibule. (c) Oral Pantogram showing well defined radiolucent cyst with canine tooth (arrow). (d) and (f) Denta scan showing well circumscribed tumor with a tooth (arrow) covering the left maxilla.
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Intraoral examination disclosed a nontender expansion of the left maxilla, covered by normal mucosa (Figures 1(a) and 1(b)). An orthopantomogram revealed the presence of a significant unilocular radiolucent area with well-defined sclerotic borders, involving an embedded upper left permanent canine (Figure 1(c)). A Denta scan (64 slice CT Scan) showed a well-defined tumour mass covering the complete left maxilla (Figures 1(d) and 1(e)).
(a) and (b) showing the procedure undertaken for the removal of tumor, the tooth visible on removal of the mucosa (arrow). (c) The tumor with the canine tooth. (d) and (e) Microphotographs showing multiple cysts and stellate formation. (e) Photograph of the female patient completely asymptomatic after three months.
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fig2
Enucleation of the lesion was performed, to completely extirpate the cystic lesion with extraction of upper left canine (Figures 2(a), 2(b), and 2(c)). Reverse polarity of peripheral cells was prominent and tubular or duct-like structures lined by cuboidal cells were observed in some areas (Figures 2(d) and 2(e)). The patient was completely asymptomatic after 3 months (Figure 2(f)).