PMC4150428_01
Diffuse swelling at the angle of left side of mandible.
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The skin overlying the swelling was smooth and normal in color (Figure 1).
Slightly obliterating the pterygopalatine raphe and a deep periodontal pocket was noted distal to 37.
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A deep periodontal pocket was noted distal to 37 (Figure 2).
Unilocular radiolucency involving the ramus of left side of mandible.
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Resorption of the distal surface of root of the mandibular second molar was also noted (Figure 3).
CT scan of the lesion showing a unilocular osteolytic lesion with posterior part of body and ramus of the left side of mandible revealing bilateral cortical plate expansion and perforation of the lingual cortical plate.
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Perforation of the lingual cortical plate was also revealed (Figures 4 and 5).
3D CT scan of the lesion showing bilaterally expansile lesion with posterior part of body and ramus of the left side of mandible.
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Perforation of the lingual cortical plate was also revealed (Figures 4 and 5).
Cystic cavity lined by odontogenic epithelium and connective tissue capsule.
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Numerous engorged and dilated blood vessels were seen (Figure 6).
Postoperative radiographs: (a) PA view, (b) OPG, and (c) lateral skull.
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Patient was followed up after 1 month with radiographic evaluation which showed complete healing of wounds and well maintained graft (Figure 7).
H & E stained section showing ameloblastic cystic epithelium showing intraluminal proliferation in the form of plexiform pattern ((a) H & E stain; 100x and (b) H & E Stain; 40x).
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The cells are arranged in interconnecting strands and cords with peripheral palisaded layer and central stellate reticulum-like cells (Figure 9).