PMC4090976_01
Medium power: Spindle cells with classic myofibroblastic cells within collagenous to myxoid stroma and associated inflammatory cells. No atypical mitosis or anaplastic elements are seen. (Note: Proliferation of spindle cells with blend nuclei and fascicular arrangement seen)
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F1
Specimen showed spindle lesions within muscles with abundance inflammatory cell and classic myofibroblastic cells [Figure 1] and final diagnosis of desmoid fibromatosis was made.
Axial cut of MRI scan showing large mass in the right submandibular region, indenting and pushing the tongue off midline
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F2
There was no evidence of muscular invasion [Figure 2].
Panorex view of the mandible
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F3
The panorex view showed an indentation on the right side of the angle of the mandible, which at that point of time was thought to represent focal impression by the submandibular mass [Figure 3].
Intraoperative photograph showing tumor attachment to the mandible. Segmental mandibulectomy was carried out sparing the inferior alveolar nerve
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F4
Tumor was noted to involve the outer cortex of the body of the mandible [Figure 4] and interestingly, originating from the socket of wisdom tooth (tooth was removed five months ago). Segmental mandibulectomy was carried out sparing the inferior alveolar nerve [Figure 4].