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).