PMC8245229_01
The patient at presentation/biopsy appointment (a) and one month later, before surgery (b). A marked enlargement of the tumor area is shown, with extension to the buccal side of the molar teeth. Plaque accumulation is also detected, owing to pain during brushing. Clinical photography proved difficult due to pain and discomfort affecting the area.
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fig1
A 28-year-old female with FA was referred to consultation by a local dentist due to an asymptomatic tumor in the lingual side of the patient's left mandibular gingiva (Figure 1).
Contrast-enhanced MRI taken after initial examination. The tumor mass is shown infiltrating the mandibular bone, intrinsic musculature of the tongue, and the buccal mucosa, up to the depth of the mylohyoid muscle on the left side. Submandibular pathologic lymph node enlargement is also detected.
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fig2
A CT scan of the tumor revealed invasion of the mandibular bone and two pathologic lymph nodes in the ipsilateral submandibular space (Figures 2 and 3).
CBCT imaging of the lower jaw. Cortical bone destruction, affecting the lingual cortex that extends from the canine up to the second molar, is shown.
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fig3
A CT scan of the tumor revealed invasion of the mandibular bone and two pathologic lymph nodes in the ipsilateral submandibular space (Figures 2 and 3).