case_images: PMC8272492_01
case_images: Preoperative panoramic radiograph showed distal osteorarefaction at the second right lower molar
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case_images: PMC8272492_01_JOMFP-25-206a-g001.jpg
case_images: F1
case_images: The panoramic radiograph showed distal osteorarefaction at the second right lower molar [Figure 1].
case_images: Preoperative three-dimensional cone beam computed tomography of mandible showing destructive lesion
case_images: JOMFP-25-206a-g002.jpg
case_images: PMC8272492_01_JOMFP-25-206a-g002.jpg
case_images: F2
case_images: CT of mandible showed an interesting osteolytic lesion [Figure 2]. Coronal sections on contrast-enhanced CT revealed a heterogeneous, soft-tissue expansile mass in the right jaw from the region of 47, the upright branch up to the subcoronoid region causing destruction of the inner and outer cortical plates.
case_images: Preoperative coronal sections on contrast enhanced computed tomography revealed a heterogeneous, soft tissue expansile mass with hyperdense calcification in the right jaw
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case_images: PMC8272492_01_JOMFP-25-206a-g003.jpg
case_images: F3
case_images: Multiple discrete hyperdense calcified mass were noted in the lingual cortex in the anterior part of the lesion [Figure 3].
case_images: Surgical enucleation of the lesion
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case_images: PMC8272492_01_JOMFP-25-206a-g004.jpg
case_images: F4
case_images: The lesion was surgically removed [Figure 4] and the tissue was sent to a histological examination: Fibrous wall of cysts covered by multi-layered squamous epithelium in which partially calcified oval structures are found.
case_images: Histological image shows fibrous wall of cysts covered by multi-layered squamous epithelium in which partially calcified oval structures are found. The presence of aggregates of eosinophilic ghost cells with large areas of dysplastic dentin
case_images: JOMFP-25-206a-g005.jpg
case_images: PMC8272492_01_JOMFP-25-206a-g005.jpg
case_images: F5
case_images: The presence of widespread chronic inflammatory lymphoplasmacellular infiltrate, dysplastic dentin and large amount of ghost cells based on histopathologic findings, the present lesion was finally diagnosed as DGCT [Figure 5].
case_images: Postoperative panoramic radiograph evaluation after 1 year
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case_images: PMC8272492_01_JOMFP-25-206a-g006.jpg
case_images: F6
case_images: Clinical and radiographic control with OPT, after 6 months and after 1 year, showed no signs of recurrence [Figure 6].