Granular cell ameloblastoma: A rare case report
The present case has been reported in the Indian Journal of Dental Research

A 50-year-old female patient reported with a history of pain and swelling in the lower left back region of jaw for the past 2 years. History revealed that she underwent an operative procedure in the same region 5 years back. A swelling appeared insidiously in the lower left back tooth region 2 years back about the size of a peanut, and thereafter gradually, it has increased to the present size approximately 7 cm × 5 cm.

Extraorally, the presence of facial asymmetry was noted, with swelling extending anteroposteriorly from the midline of jaw to angle of the mandible and superoinferiorly from lower canthus of the eye to the inferior border of mandible. The swelling had a smooth surface and the color of the skin over the swelling was normal. Palpatory finding revealed firm consistency and tenderness with absence of buccal cortical plate. Intraoral examination revealed missing 34, 35, 36, 37, and 38.

The swelling extended from distal of left canine to retromolar pad. Obliteration of buccal vestibule was noted. Routine biochemical tests were within normal limits. Panoramic view revealed multilocular radiolucency extending from the left side of the ramus of the mandible to distal surface of canine.

Clinical and radiological differential diagnoses were odontogenic keratocyst and ameloblastoma. An excisional biopsy was performed with adequate margins and sent for pathology department for confirmation.

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