case_images: PMC3876769_01
case_images: Clinical photograph showing the exophytic lesion on the left buccal mucosa.
case_images: CRIM.DENTISTRY2013-528967.001.jpg
case_images: PMC3876769_01_CRIM.DENTISTRY2013-528967.001.jpg
case_images: fig1
case_images: A-60-year old male patient presented with the chief complaint of a painless growth on the left buccal mucosa (Figure 1).
case_images: Showing epithelial hyperplasia with parakeratosis and elongated rete pegs. There is an abundance of foam cells in the connective tissue papilla (H&E stain 10x).
case_images: CRIM.DENTISTRY2013-528967.002.jpg
case_images: PMC3876769_01_CRIM.DENTISTRY2013-528967.002.jpg
case_images: fig2
case_images: Owing to the uniformly elongated rete pegs, deep connective tissue papillae were seen, some of which extended into overlying surface epithelium (Figures 2 and 3).
case_images: Presence of large numbers of lipid-laden foamy histiocytes confined to the connective tissue papillae (H&E stain 40x).
case_images: CRIM.DENTISTRY2013-528967.003.jpg
case_images: PMC3876769_01_CRIM.DENTISTRY2013-528967.003.jpg
case_images: fig3
case_images: Owing to the uniformly elongated rete pegs, deep connective tissue papillae were seen, some of which extended into overlying surface epithelium (Figures 2 and 3).
case_images: Showing foam cells with strong cytoplasmic CD68 immunostaining. The epithelial cells were negative (IHC stain 10x).
case_images: CRIM.DENTISTRY2013-528967.004.jpg
case_images: PMC3876769_01_CRIM.DENTISTRY2013-528967.004.jpg
case_images: fig4
case_images: All the foam cells were strongly stained with anti-macrophage antibodies (Figures 4 and 5).
case_images: The infiltrated foam cells in the papillary dermis were CD68 positive (IHC stain 40x).
case_images: CRIM.DENTISTRY2013-528967.005.jpg
case_images: PMC3876769_01_CRIM.DENTISTRY2013-528967.005.jpg
case_images: fig5
case_images: All the foam cells were strongly stained with anti-macrophage antibodies (Figures 4 and 5).
case_images: Showing the lesion after excision.
case_images: CRIM.DENTISTRY2013-528967.006.jpg
case_images: PMC3876769_01_CRIM.DENTISTRY2013-528967.006.jpg
case_images: fig6
case_images: The whole lesion was excised in one piece during excisional biopsy (Figure 6).