case_images: PMC6215586_01
case_images: Clinical photograph showing diffuse swelling on the left side of the face.
case_images: CRIPE2018-6594675.001.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.001.jpg
case_images: fig1
case_images: A 12-year-old boy reported to our institute with a chief complaint of swelling on the left side of the face for the past six months (Figure 1).
case_images: OPG showing large unilateral radiolucencies extending from the 1st permanent molar along the ascending ramus up to the neck of the condyle and involving coronoid process and thinning of the lower border and bowing of angle of mandible.
case_images: CRIPE2018-6594675.002.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.002.jpg
case_images: fig2
case_images: Photomicrograph showing odontogenic epithelial islands arranged in follicles within the connective tissue stroma (H&E 10x view).
case_images: CRIPE2018-6594675.003.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.003.jpg
case_images: fig3
case_images: The histopathological examination showed sheets of odontogenic islands lined by tall columnar cells enclosing stellate reticulum-like cells along with squamous metaplasia in the connective tissue stroma extending into the peripheral epithelium. (Figures 3 and 4).
case_images: Photomicrograph showing areas of ameloblast-like cells, stellate reticulum-like cells, individual cell keratinisation, and squamous metaplasia.
case_images: CRIPE2018-6594675.004.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.004.jpg
case_images: fig4
case_images: The histopathological examination showed sheets of odontogenic islands lined by tall columnar cells enclosing stellate reticulum-like cells along with squamous metaplasia in the connective tissue stroma extending into the peripheral epithelium. (Figures 3 and 4).
case_images: IHC Ki-67 mildly positive in fewer areas.
case_images: CRIPE2018-6594675.005.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.005.jpg
case_images: fig5
case_images: IHC Ki-67 also showed mild positivity in fewer areas (Figure 5).
case_images: CT scan showing expansile lytic lesion of left ramus of the mandible.
case_images: CRIPE2018-6594675.006.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.006.jpg
case_images: fig6
case_images: Further radiological investigations proceeded with CT scan neck (plain and contrast) and CT Brain (Figure 6).
case_images: Photomicrograph showing sheets of odontogenic epithelial follicles lined by tall columnar cells enclosing stellate reticulum-like cells within the connective tissue stroma (H&E 4x view).
case_images: CRIPE2018-6594675.007.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.007.jpg
case_images: fig7
case_images: Based on the clinical, radiological, and histopathological examination, a final diagnosis of acanthomatous ameloblastoma was made (Figures 7-9).
case_images: Photomicrograph showing follicles lined by tall columnar cells enclosing stellate reticulum-like cells and squamous metaplasia (H&E 40x view).
case_images: CRIPE2018-6594675.008.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.008.jpg
case_images: fig8
case_images: Based on the clinical, radiological, and histopathological examination, a final diagnosis of acanthomatous ameloblastoma was made (Figures 7-9).
case_images: Photomicrograph showing reactive lymph nodes (H&E 20x view).
case_images: CRIPE2018-6594675.009.jpg
case_images: PMC6215586_01_CRIPE2018-6594675.009.jpg
case_images: fig9
case_images: Based on the clinical, radiological, and histopathological examination, a final diagnosis of acanthomatous ameloblastoma was made (Figures 7-9).