Fig 1: Clinical photographs and CT-OPG of a patient with
ameloblastom at presentation.
Past dental history was significant for tooth extraction one month
before he noticed a small swelling at the site for which he was put on
antibiotics in a peripheral facility without improvement.
On examination the patient appeared moderately wasted exhibiting mild
conjuctival pallor but no palpable cervical lymph nodes. There was a
massive swelling on the left extending from the left temporal region to
lower border of mandible measuring19cmx16cm in superficial dimensions.
The swelling caused both lingual and buccal expansion with an egg
crackling texture in some areas on palpation. A computerized tomographic
(CT) scan of the lesion showed an extensive destruction of the mandible
and compression of the left maxilla (Figure 2).
Fig. 2: 3-D reconstructed CT scan and coronal view
demonstrating the tumour extent
An incisional biopsy was done and showed features of tumor cells
suggestive of mixed ameloblastoma (Figure 3).