PMC4860925_01
(a) Solitary, exophytic, sessile, soft tissue mass, pinkish red in color present on mandibular anterior edentulous alveolar ridge. (b) Solitary, exophytic sessile soft tissue mass pinkish red in color with indentation of right maxillary central incisor
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F1
The surface was irregular with an area of ulceration due to 11, covered with necrotic slough [Figure 1a and b].
Reconstructed orthopantomography from cone beam computed tomography showing irregular radiolucent lesion in mandibular anterior region
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F2
Orthopantomogram [Figure 2] and cone beam computed tomography [Figure 3a and b] showed a well-corticated unilocular radiolucent lesion with specks of radiopacities present in edentulous anterior region of mandible.
(a) Cone beam computed tomography showing expansion of both cortical plates in mandibular anterior region with lingual perforation. (b) Three-dimensional Cone beam computed tomography of mandible showing destructive lesion
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F3
Orthopantomogram [Figure 2] and cone beam computed tomography [Figure 3a and b] showed a well-corticated unilocular radiolucent lesion with specks of radiopacities present in edentulous anterior region of mandible.
Photomicrograph showing surface epithelium and fibrocellular stroma with isolated odontogenic epithelial islands and eosinophilic dentinoid material (H&E stain, x100)
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F4
The deeper connective tissue consisted of islands of odontogenic epithelium, abundant eosinophilic material resembling dentin and numerous ghost cells [Figures 4 and 5].
(a) Odontogenic epithelium with dentinoid material (yellow arrow) and ghost cells (blue arrow) (H&E stain, x40) (b) High power view of odontogenic epithelium with dentinoid material (yellow arrow) and ghost cells (blue arrow) (H&E stain, x100)
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F5
The deeper connective tissue consisted of islands of odontogenic epithelium, abundant eosinophilic material resembling dentin and numerous ghost cells [Figures 4 and 5].
Positive Van Gieson stain showing ghost cells (yellow color) and dentinoid material (reddish pink) (Van Gieson stain, x100)
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F6
In the present case, sections were stained with Van Gieson [Figure 6] stain.