PMC3341745_01
Clinical presentation of the lesion in the anterior maxilla causing facial asymmetry
CCD-3-108-g001.jpg
PMC3341745_01_CCD-3-108-g001.jpg
F1
On clinical examination, a non-pigmented, non-ulcerative, non-pedunculated swelling of size 4 cm x 3 cm was seen in the pre-maxilla region with facial asymmetry [Figure 1].
Firm, non-ulcerated, non-pigmented, non-pedunculated swelling in the anterior maxilla with displacement of deciduous central incisors
CCD-3-108-g002.jpg
PMC3341745_01_CCD-3-108-g002.jpg
F2
The mucosa overlying the swelling was intact and both the primary central incisors (51, 61) were displaced apart [Figure 2].
An IOPA Intraoral periapical radiograph showing a mixed radiolucent and radioopaque lesion with ill-defined and irregular borders
CCD-3-108-g003.jpg
PMC3341745_01_CCD-3-108-g003.jpg
F3
Radiographically, the lesion appeared as a mixed radiolucent and radioopacity with ill-defined and irregular borders suggestive of both osteolytic and osteogenic reaction [Figure 3].
The background of the tumor as fibrotic and containing irregular islands of tumor cells. There appears to be two populations of tumor cells, the large melanotic (pigmented) type and the small (non-pigmented) type (x10)
CCD-3-108-g004.jpg
PMC3341745_01_CCD-3-108-g004.jpg
F4
Microscopically [Figure 4], the specimen showed an intraosseous lesion that eroded the bone and was covered by intact overlying mucosa.
(a) Photomicrographs showing small cells having morphologic features of primitive neuroepithelial cells while the larger cells have features of melanocytes (b) Photomicrographs (higher magnifi cation) showing small cells having morphologic features of primitive neuroepithelial cells while the larger cells have features of melanocytes
CCD-3-108-g005.jpg
PMC3341745_01_CCD-3-108-g005.jpg
F5
On higher magnifications [Figure 5], the small cells had morphologic features of primitive neuroepithelial cells while the larger cells had features of melanocytes.