case_images: PMC3714812_01
case_images: Intraoral view shows buccal and palatal expansion in the left maxillary region and the exophytic ulcerated mass
case_images: DRJ-10-112-g001.jpg
case_images: PMC3714812_01_DRJ-10-112-g001.jpg
case_images: F1
case_images: Also, the extraction site of the second and third molar was filled with an irregular exophytic ulcerated mass which bled easily on palpation [Figure 1].
case_images: Computed tomography scan shows extensive destruction of the left maxillary sinus
case_images: DRJ-10-112-g002.jpg
case_images: PMC3714812_01_DRJ-10-112-g002.jpg
case_images: F2
case_images: Computed tomography scan showed extension of the lesion medially and vertically to the nasal septal bone and the inferior orbital rim, respectively [Figure 2].
case_images: Photomicrographs showing (a) benign-appearing epithelial islands and highly cellular mesenchymal component (H and E, original magnification x100); (b) pleomorphism and scattered bizarre cells in mesenchymal component (H and E, original magnification x100)
case_images: DRJ-10-112-g003.jpg
case_images: PMC3714812_01_DRJ-10-112-g003.jpg
case_images: F3
case_images: Nuclear hyperchromatism, pleomorphism, and scattered mitotic figures were identified in some areas as well as giant and bizarre cells and the tumor was diagnosed as "ameloblastic fibrosarcoma" accordingly [Figures 3a and b].
case_images: Intraoral examination and (a) CT scan evaluation (b) revealed no evidence of recurrence after two years
case_images: DRJ-10-112-g004.jpg
case_images: PMC3714812_01_DRJ-10-112-g004.jpg
case_images: F4
case_images: At present, after 2 years, the patient is free of any recurrence and in a good health status [Figures 4a and b].