case_images: PMC3961933_01
case_images: Frontal view of the patient showing a well defined swelling on left side and diffuse swelling on the right side of the mandible
case_images: JNSBM-5-190-g001.jpg
case_images: PMC3961933_01_JNSBM-5-190-g001.jpg
case_images: F1
case_images: Gross facial asymmetry was noticed due to a swelling involving the middle and lower one third region of the face [Figure 1].
case_images: Intra-oral photograph shows an expansile swelling of the mandible with complete bucco-lingual cortical plate expansion and lingually displaced teeth
case_images: JNSBM-5-190-g002.jpg
case_images: PMC3961933_01_JNSBM-5-190-g002.jpg
case_images: F2
case_images: On intraoral examination [Figure 2], a diffuse swelling was seen extending from the left to right retromolar region.
case_images: Orthopantomogram reveals a massive high density, mixed radiopaque-radiolucent lesion exhibiting cotton -wool appearance. Demarcation between the lesion and normal bone with bowing of the inferior border of mandible is appreciable
case_images: JNSBM-5-190-g003.jpg
case_images: PMC3961933_01_JNSBM-5-190-g003.jpg
case_images: F3
case_images: Panoramic radiograph [Figure 3] revealed a well defined mixed radiopaque and radiolucent lesion, extending from left ramus region to the right angle of the mandible, measuring about 11 x 7 cms.
case_images: Lower occlusal radiograph shows irregular bucco- lingual cortical plate expansion
case_images: JNSBM-5-190-g004.jpg
case_images: PMC3961933_01_JNSBM-5-190-g004.jpg
case_images: F4
case_images: Occlusal radiograph [Figure 4], revealed irregular expansion of both bucco-lingual cortical plates and lingual displacement of involved teeth.
case_images: Posterior Anterior mandible view reveals an expansile mixed radiolucent radiopaque lesion extending from the ramus of left side to the right angle of the mandible
case_images: JNSBM-5-190-g005.jpg
case_images: PMC3961933_01_JNSBM-5-190-g005.jpg
case_images: F5
case_images: Posterior-Anterior (PA) mandible view [Figure 5] revealed a mixed radiopaque, radiolucent lesion involving the left ramus region and extending up to the right angle of the mandible.
case_images: Axial CT scan view shows a large lobulated bone density mass involving both right and left body and left ramus of mandible, which exhibits mixed sclerotic and lucent areas. Central low-density areas (arrow) are seen
case_images: JNSBM-5-190-g006.jpg
case_images: PMC3961933_01_JNSBM-5-190-g006.jpg
case_images: F6
case_images: Image of 3D-CT scan shows a large expansile swelling within the mandible, which involves both right and left body and left ramus of mandible, which exhibits mixed sclerotic and lucent areas measuring 11.8 x 7.0 x 7.3 cm3
case_images: JNSBM-5-190-g007.jpg
case_images: PMC3961933_01_JNSBM-5-190-g007.jpg
case_images: F7
case_images: Photomicrography shows several spherical masses of a cellular calcified material resembling cementum were seen throughout the fibrous tissue (H and E stain x250)
case_images: JNSBM-5-190-g008.jpg
case_images: PMC3961933_01_JNSBM-5-190-g008.jpg
case_images: F8
case_images: An incisional biopsy was performed and the tissue was sent for histopathological evaluation [Figure 8] which irregularly shaped bony trabaculae interspersed in connective tissue stroma which is fibrocellular.