case_images: PMC11340818_01
case_images: A - Intraoral photograph reveals soft to firm swelling in the vestibular region concerning right maxillary first and second molar extending till palate; B - CT axial view reveals an expansile lobulated soft tissue lesion bulging into maxillary sinus causing cortical destruction; C - CT coronal view reveals areas of amorphous calcifications, D - Excised gross specimen revealing tumor tissue morphology (scale bar = 2 cm) [1- lateral aspect of the maxillary first molar, 2-anterolateral wall of the maxilla and maxillary sinus, 3-palatal shelf and 4- a posterolateral wall of maxilla after pterygoid disjunction].
case_images: autopsy-14-e2024510-g01.jpg
case_images: PMC11340818_01_autopsy-14-e2024510-g01.jpg
case_images: gf01
case_images: On examination, a soft to firm, bright red, tender on palpation swelling was present in the buccal vestibule and gingival margin of the right maxillary first and second molar, which extended to the associated palate (Figure 1A). The lesion caused cortical destruction medial, postero, and laterally, extended into the hard palate, showing amorphous calcifications (Figures 1B and 1C). After the diagnosis, a surgical enucleation (Figure 1 D) was performed involving the anterior maxilla and nasal wall.
case_images: Photomicrographs depict histopathologic findings of DGCT. A - Ameloblastomatous epithelial proliferation - black arrow (H&E, 4X); B - Tall columnar ameloblast-like cells with reversal of polarity and ghost cells- black arrow (H&E, 10X); C - Dentinoid material - black arrow (H&E, 10X); D - Ghost cells stained yellow and dentinoid stained amorphous reddish pink - black arrow (Van Gieson, 4X).
case_images: autopsy-14-e2024510-g02.jpg
case_images: PMC11340818_01_autopsy-14-e2024510-g02.jpg
case_images: gf02
case_images: On Van Gieson staining, the dentinoid material appeared reddish pink, and ghost cells took up yellow (Figure 2).