case_images: PMC5681010_01
case_images: Clinical intraoral photograph showing exposed tumor in the maxillary region
case_images: PAMJ-28-5-g001.jpg
case_images: PMC5681010_01_PAMJ-28-5-g001.jpg
case_images: f0001
case_images: The swelling crossed the midline, extending from the right canine region to the left incisor region of the gum-pad (Figure 1), measuring 3cm by 4cm.
case_images: Pigmented granules seen during surgery
case_images: PAMJ-28-5-g002.jpg
case_images: PMC5681010_01_PAMJ-28-5-g002.jpg
case_images: f0002
case_images: Intra-operatively, access was gained through the labial mucosa, revealing blackish granules (Figure 2).
case_images: Post-operative photograph after wide excision
case_images: PAMJ-28-5-g003.jpg
case_images: PMC5681010_01_PAMJ-28-5-g003.jpg
case_images: f0003
case_images: The operator decided against a Weber-Ferguson approach as cosmesis was important to the mother and the labial approach provided good access (Figure 3).
case_images: Histological section of the lesion showing nest of pigmented cells (arrow) within the connective tissue (H&E x10)
case_images: PAMJ-28-5-g004.jpg
case_images: PMC5681010_01_PAMJ-28-5-g004.jpg
case_images: f0004
case_images: Histopathology of the excised tissue revealed pigmented cells in nests and islands, with some cleft formation (Figure 4, Figure 5).
case_images: Histological section showing nest and island of tumor cells with cleft formation (arrow) (H&E x40)
case_images: PAMJ-28-5-g005.jpg
case_images: PMC5681010_01_PAMJ-28-5-g005.jpg
case_images: f0005
case_images: Histopathology of the excised tissue revealed pigmented cells in nests and islands, with some cleft formation (Figure 4, Figure 5).
case_images: Occipito-mental view of the skull showing anterior-maxillary region
case_images: PAMJ-28-5-g006.jpg
case_images: PMC5681010_01_PAMJ-28-5-g006.jpg
case_images: f0006
case_images: There is currently no evidence of recurrence at two years following resection (Figure 6, Figure 7).
case_images: Patient 2 years post-excision
case_images: PAMJ-28-5-g007.jpg
case_images: PMC5681010_01_PAMJ-28-5-g007.jpg
case_images: f0007
case_images: There is currently no evidence of recurrence at two years following resection (Figure 6, Figure 7).