PMC4733487_01
Clinical picture showing an intraoral black discolored lesion with extraoral expansion. Note the black nodule in the left commissar
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Intraorally, there was huge tender black discolored swelling extended bucco-lingulay as well as anterio-posteriorly from area distal to 36 to the pterygomandibular trigone with palpable submental and bilateral submandibular lymph nodes (Figure 1).
Orthopantomogram showing ill defined radiolucency associated with pathological fracture
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Orthopantomography showed an ill defined radiolucency in the left mandibular angle associated with pathological fracture (Figure 2).
Axial CT scan showing destruction of the bone and soft tissues enhancement that extended buccally and lingually
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Axial CT image showed a cortical bone destruction, soft tissues expansion and necrotic left jugulodigastric lymph node (Figure 3 and Figure 4).
An axial CT scan view showing tethered skin and left jugulodigastric lymph node enlargement with central necrosis
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Axial CT image showed a cortical bone destruction, soft tissues expansion and necrotic left jugulodigastric lymph node (Figure 3 and Figure 4).
Showing an infiltrative tumor spreading through the submucosa with junctional activity (arrow). The tumor cells shows spindling and melanin production
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The tumor consisting of melanin producing spindle and pleomorphic cells having large nuclei (Figure 5 and Figure 6).
Showing a tumor consisting of melanin producing spindle and pleomorhic cells are having large nuclei
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The tumor consisting of melanin producing spindle and pleomorphic cells having large nuclei (Figure 5 and Figure 6).