PMC8272492_01
Preoperative panoramic radiograph showed distal osteorarefaction at the second right lower molar
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F1
The panoramic radiograph showed distal osteorarefaction at the second right lower molar [Figure 1].
Preoperative three-dimensional cone beam computed tomography of mandible showing destructive lesion
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F2
CT of mandible showed an interesting osteolytic lesion [Figure 2]. Coronal sections on contrast-enhanced CT revealed a heterogeneous, soft-tissue expansile mass in the right jaw from the region of 47, the upright branch up to the subcoronoid region causing destruction of the inner and outer cortical plates.
Preoperative coronal sections on contrast enhanced computed tomography revealed a heterogeneous, soft tissue expansile mass with hyperdense calcification in the right jaw
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F3
Multiple discrete hyperdense calcified mass were noted in the lingual cortex in the anterior part of the lesion [Figure 3].
Surgical enucleation of the lesion
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F4
The lesion was surgically removed [Figure 4] and the tissue was sent to a histological examination: Fibrous wall of cysts covered by multi-layered squamous epithelium in which partially calcified oval structures are found.
Histological image shows fibrous wall of cysts covered by multi-layered squamous epithelium in which partially calcified oval structures are found. The presence of aggregates of eosinophilic ghost cells with large areas of dysplastic dentin
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F5
The presence of widespread chronic inflammatory lymphoplasmacellular infiltrate, dysplastic dentin and large amount of ghost cells based on histopathologic findings, the present lesion was finally diagnosed as DGCT [Figure 5].
Postoperative panoramic radiograph evaluation after 1 year
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F6
Clinical and radiographic control with OPT, after 6 months and after 1 year, showed no signs of recurrence [Figure 6].