case_images: PMC4065453_01
case_images: Patient showing growth on right lower back region with extraoral swelling on right cheek region
case_images: JOMFP-18-80-g001.jpg
case_images: PMC4065453_01_JOMFP-18-80-g001.jpg
case_images: F1
case_images: On extraoral clinical examination, the swelling was located on the right mandibular region leading to facial asymmetry [Figure 1].
case_images: Ulcerative growth seen on the right buccal mucosa measuring about 5 x 6 cm in size extending anteroposteriorly from retromolar area to distal aspect of 46 region.
case_images: JOMFP-18-80-g002.jpg
case_images: PMC4065453_01_JOMFP-18-80-g002.jpg
case_images: F2
case_images: It was non-tender and fixed to underlying structures [Figure 2].
case_images: Increased intraoral growth after 2 months
case_images: JOMFP-18-80-g003.jpg
case_images: PMC4065453_01_JOMFP-18-80-g003.jpg
case_images: F3
case_images: An incisional biopsy was done along with the extraction of 46, 47 and 48 teeth under local anesthesia (2% Lignocaine with adrenalin, one in 80,000 dilution) and the specimen was submitted for histopathological evaluation [Figures 3 and 4].
case_images: Incisional biopsy specimen along with extracted 46, 47 and 48 teeth
case_images: JOMFP-18-80-g004.jpg
case_images: PMC4065453_01_JOMFP-18-80-g004.jpg
case_images: F4
case_images: An incisional biopsy was done along with the extraction of 46, 47 and 48 teeth under local anesthesia (2% Lignocaine with adrenalin, one in 80,000 dilution) and the specimen was submitted for histopathological evaluation [Figures 3 and 4].
case_images: Photomicrograph showing sheets of lymphoid cells (H&E stain, x400)
case_images: JOMFP-18-80-g005.jpg
case_images: PMC4065453_01_JOMFP-18-80-g005.jpg
case_images: F5
case_images: The connective tissue showed sheets of immature round tumor lymphoid cells of varying sizes and shapes, which were diffusely distributed in the connective tissue [Figure 5].
case_images: PMC4065453_02
case_images: Photomicrograph showing IHC positivity for CD45 with intense nuclear brown staining for cell membrane surface (IHC stain, x400)
case_images: JOMFP-18-80-g006.jpg
case_images: PMC4065453_02_JOMFP-18-80-g006.jpg
case_images: F6
case_images: The positivity was indicated by intense nuclear brown staining on cell membrane surface [Figure 6].
case_images: Photomicrograph showing negativity for CD20 staining (IHC stain, x400)
case_images: JOMFP-18-80-g007.jpg
case_images: PMC4065453_02_JOMFP-18-80-g007.jpg
case_images: F7
case_images: T-cell lineage and negative for CD20 confirming that it was not of B-cell lineage [Figures 7 and 8]. The final diagnosis was confirmed as "Extranodal Peripheral T-cell Non-Hodgkin's Lymphoma." Patient did not turn up for 2 months after the histological diagnosis.
case_images: Photomicrograph showing small cell T-lymphocytes positive for CD3 with intense nuclear brown staining for cell membrane surface (IHC stain, x400)
case_images: JOMFP-18-80-g008.jpg
case_images: PMC4065453_02_JOMFP-18-80-g008.jpg
case_images: F8
case_images: T-cell lineage and negative for CD20 confirming that it was not of B-cell lineage [Figures 7 and 8]. The final diagnosis was confirmed as "Extranodal Peripheral T-cell Non-Hodgkin's Lymphoma." Patient did not turn up for 2 months after the histological diagnosis.