case_images: PMC3782764_01
case_images: Swelling on lingual surface on the left side of the mandible extending from 33 to 36.
case_images: CRIM.DENTISTRY2013-835892.001.jpg
case_images: PMC3782764_01_CRIM.DENTISTRY2013-835892.001.jpg
case_images: fig1
case_images: On intraoral examination, solitary, oval swelling measuring 4 x 2 cm in size seen on the left side of the mandible extending from 33 to 36 was noticed (Figure 1).
case_images: OPG of the patient reveals a large multilocular radiolucency.
case_images: CRIM.DENTISTRY2013-835892.002.jpg
case_images: PMC3782764_01_CRIM.DENTISTRY2013-835892.002.jpg
case_images: fig2
case_images: Panoramic radiograph revealed a huge osteodestructive lesion with well-defined multilocular radiolucency with thin corticated borders in the left side of the mandible extending from 36 to 45 (Figure 2).
case_images: Serosanguinous aspirate with blood.
case_images: CRIM.DENTISTRY2013-835892.003.jpg
case_images: PMC3782764_01_CRIM.DENTISTRY2013-835892.003.jpg
case_images: fig3
case_images: On fine needle aspiration, a serosanguinous aspirate was obtained which revealed acute inflammatory cells (consisting mainly of polymorphonuclear neutrophils) and cystic macrophages in an eosinophilic background on cytopathologic examination (Figure 3).
case_images: Cystic lumen lined by nonkeratinized stratified squamous epithelium showing prominent basal cells (H and E) 10x.
case_images: CRIM.DENTISTRY2013-835892.004.jpg
case_images: PMC3782764_01_CRIM.DENTISTRY2013-835892.004.jpg
case_images: fig4
case_images: Histopathological examination demonstrated cystic lumen lined by nonkeratinized stratified squamous epithelium showing prominent basal cells with hyperchromatic nuclei which is polarized (Figure 4).
case_images: Suprabasal layer resembles stellate reticulum proliferating intraluminally with few vacuolated cells. (H and E) 40x.
case_images: CRIM.DENTISTRY2013-835892.005.jpg
case_images: PMC3782764_01_CRIM.DENTISTRY2013-835892.005.jpg
case_images: fig5
case_images: The suprabasal layer resembles stellate reticulm like cells which are proliferating intraluminally with few vacuolated cells (Figure 5).
case_images: Squamous metaplasia of cystic lining and hyalinization of underlying connective tissue (H and E) 40x.
case_images: CRIM.DENTISTRY2013-835892.006.jpg
case_images: PMC3782764_01_CRIM.DENTISTRY2013-835892.006.jpg
case_images: fig6
case_images: The underlying connective tissue capsule shows inductive hyalinized eosinophilic band just beneath the epithelium (Figure 6).