case_images: PMC3341745_01
case_images: Clinical presentation of the lesion in the anterior maxilla causing facial asymmetry
case_images: CCD-3-108-g001.jpg
case_images: PMC3341745_01_CCD-3-108-g001.jpg
case_images: F1
case_images: On clinical examination, a non-pigmented, non-ulcerative, non-pedunculated swelling of size 4 cm x 3 cm was seen in the pre-maxilla region with facial asymmetry [Figure 1].
case_images: Firm, non-ulcerated, non-pigmented, non-pedunculated swelling in the anterior maxilla with displacement of deciduous central incisors
case_images: CCD-3-108-g002.jpg
case_images: PMC3341745_01_CCD-3-108-g002.jpg
case_images: F2
case_images: The mucosa overlying the swelling was intact and both the primary central incisors (51, 61) were displaced apart [Figure 2].
case_images: An IOPA Intraoral periapical radiograph showing a mixed radiolucent and radioopaque lesion with ill-defined and irregular borders
case_images: CCD-3-108-g003.jpg
case_images: PMC3341745_01_CCD-3-108-g003.jpg
case_images: F3
case_images: Radiographically, the lesion appeared as a mixed radiolucent and radioopacity with ill-defined and irregular borders suggestive of both osteolytic and osteogenic reaction [Figure 3].
case_images: The background of the tumor as fibrotic and containing irregular islands of tumor cells. There appears to be two populations of tumor cells, the large melanotic (pigmented) type and the small (non-pigmented) type (x10)
case_images: CCD-3-108-g004.jpg
case_images: PMC3341745_01_CCD-3-108-g004.jpg
case_images: F4
case_images: Microscopically [Figure 4], the specimen showed an intraosseous lesion that eroded the bone and was covered by intact overlying mucosa.
case_images: (a) Photomicrographs showing small cells having morphologic features of primitive neuroepithelial cells while the larger cells have features of melanocytes (b) Photomicrographs (higher magnifi cation) showing small cells having morphologic features of primitive neuroepithelial cells while the larger cells have features of melanocytes
case_images: CCD-3-108-g005.jpg
case_images: PMC3341745_01_CCD-3-108-g005.jpg
case_images: F5
case_images: On higher magnifications [Figure 5], the small cells had morphologic features of primitive neuroepithelial cells while the larger cells had features of melanocytes.