PMC8407644_01
Intraoral photograph showing lesion in-situ
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F1
The patient gave a history of spontaneous exfoliation of teeth in that region [Figure 1].
Cone-beam computed tomography revealed radiolucent lesion with ill-defined border
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F2
Cone-beam computed tomography revealed radiolucent lesion with ill-defined border extending from mandibular left first premolar up to the angle region [Figure 2].
Midline split incision given
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F3
Midline split incision was given extending till the left neck crease [Figure 3].
Segmental mandibulectomy done
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F4
Left level IIa and III neck nodes were cleared [Figure 4].
Reconstruction using fibula flap
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F5
Fibula flap was harvested and used to reconstruct the left side of the mandible with reconstruction plates and microvascular anastomosis was carried out [Figure 5].
Histopathology of the patient showing high cellular mesenchymal component that consists of numerous monomorphic spindle-shaped fibroblast and histiocyte like cells in varying proportions, multinucleated giant cells seen interspersed in the connective tissue stroma, and the tumour cells are invading the osseous tissue at the periphery (x40)
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F6
Histological examination [Figure 6] of the primary tumour revealed highly cellular mesenchymal component that consisted of numerous monomorphic spindle-shaped fibroblast and histiocyte-like cells in varying proportions.
Postoperative orthopantomogram
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F7
Postoperative orthopantomogram was taken [Figure 7].