case_images: PMC10800137_01
case_images: 3.3 cm x 3 cm, lesion with heterogeneous enhancement with osteo-destruction
case_images: ijo-36-365-g001.jpg
case_images: PMC10800137_01_ijo-36-365-g001.jpg
case_images: F1
case_images: Importantly, the maxillary sinus itself was unaffected, and there were no indications of extension into the orbital or intracranial regions (Figure 1).
case_images: Clinical picture showing whitish firm lesion as seen during excision via sub-labial approach
case_images: ijo-36-365-g002.jpg
case_images: PMC10800137_01_ijo-36-365-g002.jpg
case_images: F2
case_images: During the surgery, a whitish firm mass measuring 4 cm x 3 cm was identified in the premaxilla and completely removed (Figure 2).
case_images: A. Excision specimen showed epithelioid cell granuloma and multinucleated giant cells having Asteroid bodies (Hematoxylin and Eosin x100) B. High power image showing multinucleated giant cells having eosinophilic, stellate shaped Asteroid bodies (Hematoxylin and Eosin x400)
case_images: ijo-36-365-g003.jpg
case_images: PMC10800137_01_ijo-36-365-g003.jpg
case_images: F3
case_images: To our surprise, the histology this time revealed the presence of a non-caseating granuloma characterised by the presence of epithelioid cells, giant cells, and some giant cells exhibiting Asteroid bodies suggestive of sarcoidosis! (Figure 3).