case_images: PMC10229251_01
case_images: Oral findings. The right first and second molars were missed previously, and the gingival mucosa was clear and normal.
case_images: CRID2023-2422086.001.jpg
case_images: PMC10229251_01_CRID2023-2422086.001.jpg
case_images: fig1
case_images: The right first and second molars were previously missed, and the gingival mucosa was clear and normal (Figure 1).
case_images: Panoramic radiograph. The panoramic radiograph revealed irregular radiolucent region on the right body to ramus infiltrating to the mandibular canal.
case_images: CRID2023-2422086.002.jpg
case_images: PMC10229251_01_CRID2023-2422086.002.jpg
case_images: fig2
case_images: Panoramic radiography revealed an irregular radiolucent region extending from the right side of the mandibular body to the ramus infiltrating the mandibular canal (Figure 2).
case_images: MR image. (a) Axial view. (b) Coronal view. (c) Sagittal view. T1-weighted MR reveals a 45 mm x 2 3 mm x 19 mm low-signal mass in the body of the mandible involving the mandibular canal. The submandibular LN is swollen.
case_images: CRID2023-2422086.003.jpg
case_images: PMC10229251_01_CRID2023-2422086.003.jpg
case_images: fig3
case_images: The submandibular LN was swollen (Figure 3).
case_images: CT image. Axial view. CT depicts thin cortical bone and slightly partially destroyed lingual bone.
case_images: CRID2023-2422086.004.jpg
case_images: PMC10229251_01_CRID2023-2422086.004.jpg
case_images: fig4
case_images: CT depicted a thin cortical bone and a slightly partially destroyed lingual bone (Figure 4).
case_images: PET-CT imaging. PET imaging showed increased uptake in (a) and (b) right side of mandible, (c) left coracoid process of scapula, (d) sternum, and (e) right lesser trochanter of thigh bone.
case_images: CRID2023-2422086.005.jpg
case_images: PMC10229251_01_CRID2023-2422086.005.jpg
case_images: fig5
case_images: Multiple bone metastases were suspected (Figure 5).
case_images: Pathological findings. HE staining: (a) low magnification view x100, (b) solid alveolar like pattern x200, (c) cribriform pattern x200, and (d) high magnification view x400. Pathologically, the tumor consists of a solid alveolar pattern with partially tubular and cribriform pattern formation. Interstitial hyalinization and myxomatous generation are observed.
case_images: CRID2023-2422086.006.jpg
case_images: PMC10229251_01_CRID2023-2422086.006.jpg
case_images: fig6
case_images: Hyalinization and myxomatous interstitial generations were also observed (Figure 6).
case_images: Immunohistochemistry results (low magnification view x200). (a) alphaSMA. (b) Pankeratin. (c) EMA. (d) c-kit.
case_images: CRID2023-2422086.007.jpg
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case_images: fig7
case_images: Immunohistochemistry results were as follows: alpha smooth musle actin (alphaSMA) (+), pankeratin (+), epithelial membrane antigen (EMA) (+), c-kit (weak+), p40 (-), and p63 (-) (Figure 7).
case_images: Field of palliative radiotherapy. Radiotherapy was performed for the third thoracic vertebrae epidural mass at 30 Gy/10 fractions.
case_images: CRID2023-2422086.008.jpg
case_images: PMC10229251_01_CRID2023-2422086.008.jpg
case_images: fig8
case_images: Radiotherapy for the third thoracic vertebrae epidural mass was performed at 30 Gy/10 fractions (Figure 8).