case_images: PMC7433956_01
case_images: Preoperative extraoral profile
case_images: AMS-10-262-g001.jpg
case_images: PMC7433956_01_AMS-10-262-g001.jpg
case_images: F1
case_images: On extraoral examination, facial asymmetry noted with a single diffuse swelling on the right middle face [Figure 1].
case_images: Preoperative intraoral image
case_images: AMS-10-262-g002.jpg
case_images: PMC7433956_01_AMS-10-262-g002.jpg
case_images: F2
case_images: Intraoral examination revealed a solitary, well-defined swelling obliterating the vestibule and extending from the right maxillary central incisor region (11) to the right maxillary second premolar region (15) posteriorly [Figure 2], associated with the swelling on palatal aspect.
case_images: Computed tomography scan (axial cut)
case_images: AMS-10-262-g003.jpg
case_images: PMC7433956_01_AMS-10-262-g003.jpg
case_images: F3
case_images: The CT scan showed well-defined soft-tissue solid hypodense lesions with osteolytic destruction involving the alveolar process of maxilla extending to the lower lateral aspect of the nasal cavity [Figures 3 and 4]. Skin and subcutaneous tissue overlying the mass was intact [Figure 3].
case_images: Computed tomography scan (coronal cut)
case_images: AMS-10-262-g004.jpg
case_images: PMC7433956_01_AMS-10-262-g004.jpg
case_images: F4
case_images: The CT scan showed well-defined soft-tissue solid hypodense lesions with osteolytic destruction involving the alveolar process of maxilla extending to the lower lateral aspect of the nasal cavity [Figures 3 and 4].
case_images: Intraoperative image
case_images: AMS-10-262-g005.jpg
case_images: PMC7433956_01_AMS-10-262-g005.jpg
case_images: F5
case_images: Under local anesthesia, a cravicular approach was made and surgical excision of the tumour was performed [Figure 5].
case_images: Postoperative extraoral profile
case_images: AMS-10-262-g006.jpg
case_images: PMC7433956_01_AMS-10-262-g006.jpg
case_images: F6
case_images: Postoperative recovery was uneventful [Figure 6].
case_images: Microscopic view showing dense proliferation of fibro-collagenous tissue among which are seen areas of bony trabeculae lined by plump osteoblasts
case_images: AMS-10-262-g007.jpg
case_images: PMC7433956_01_AMS-10-262-g007.jpg
case_images: F7
case_images: Stroma also consists of numerous multinucleated giant cells, blood vessels, and inflammatory cells [Figures 7-9].
case_images: Proliferating fibroblastic tissue with blood vessels and osteoid showing plump osteoblastic rimming
case_images: AMS-10-262-g008.jpg
case_images: PMC7433956_01_AMS-10-262-g008.jpg
case_images: F8
case_images: Stroma also consists of numerous multinucleated giant cells, blood vessels, and inflammatory cells [Figures 7-9].
case_images: High-power view showing focus of proliferating fibroblastic cells with few specs of calcification (psammamatoid type)
case_images: AMS-10-262-g009.jpg
case_images: PMC7433956_01_AMS-10-262-g009.jpg
case_images: F9
case_images: Stroma also consists of numerous multinucleated giant cells, blood vessels, and inflammatory cells [Figures 7-9].