case_images: PMC4451653_01
case_images: Extraoral swelling exhibiting asymmetry and deviation of the chin
case_images: JOMFP-19-108b-g001.jpg
case_images: PMC4451653_01_JOMFP-19-108b-g001.jpg
case_images: F1
case_images: The jaw movements and the temporomandibular joint (TMJ) movements were normal [Figure 1].
case_images: Intraoral view of the swelling
case_images: JOMFP-19-108b-g002.jpg
case_images: PMC4451653_01_JOMFP-19-108b-g002.jpg
case_images: F2
case_images: The teeth present were 33, 36, 41, 42, 43, 45 and 46 with multiple missing teeth and displacement of 33, 41, 42 and 43 [Figure 2].
case_images: Preoperative orthopantomograph exhibiting an expansile swelling of the lower border of the mandible
case_images: JOMFP-19-108b-g003.jpg
case_images: PMC4451653_01_JOMFP-19-108b-g003.jpg
case_images: F3
case_images: Orthopantomograph (OPG) revealed a multilocular radiolucency extending from the right ramus to the left ramus region with an expansile swelling in the lower border of the mandible [Figure 3].
case_images: Radiograph of the resected specimen
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case_images: PMC4451653_01_JOMFP-19-108b-g004.jpg
case_images: F4
case_images: A specimen x-ray was taken which revealed similar radiologic findings as the preoperative OPG [Figure 4].
case_images: Grossing of the specimen
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case_images: PMC4451653_01_JOMFP-19-108b-g005.jpg
case_images: F5
case_images: Multiple sections were grossed from different areas of the specimen [Figure 5].
case_images: A richly cellular stroma with evenly dispersed giant cells (H&E, x40)
case_images: JOMFP-19-108b-g006.jpg
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case_images: F6
case_images: The histopathological examination of the soft tissue revealed a richly cellular stroma comprising of plenty of evenly distributed multinucleated giant cells [Figure 6].
case_images: Areas of pathologic resorption of bone (H&E stain, x200)
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case_images: F7
case_images: Few areas of pathologic resorption of bone were also evident [Figure 7].
case_images: Giant cells with agglomeration of nuclei in the center (H&E stain, x400)
case_images: JOMFP-19-108b-g008.jpg
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case_images: F8
case_images: High power view showed multinucleated giant cells with agglomeration of around 25-50 nuclei in center surrounded by clear cytoplasm, the proliferating stromal cells were hyperchromatic and pleomorphic [Figures 8 and 9].
case_images: A composite photomicrograph of four different fields exhibiting cellular stroma with giant cells (H&E stain, x100). Inset of each image shows high power view of the giant cell in the particular field (H&E stain, x400)
case_images: JOMFP-19-108b-g009.jpg
case_images: PMC4451653_01_JOMFP-19-108b-g009.jpg
case_images: F9
case_images: High power view showed multinucleated giant cells with agglomeration of around 25-50 nuclei in center surrounded by clear cytoplasm, the proliferating stromal cells were hyperchromatic and pleomorphic [Figures 8 and 9].