Atypical Presentation of Giant Mandibular Aneurysmal Bone Cyst with Cemento-Ossifying Fibroma Mimicking Sarcoma

Figure 1

(a) A 12-year-old girl with right mandibular and neck mass displacing teeth all the way. (b) Panorex view that shows massive destruction of half of her mandible with extension into condyle, neck, and medial of right of mandible. (c) Axial and (d) coronal CT scan of neck and soft tissue that shows multiple septations along with wall enhancement within the lesion. (e) Large soft tissue tumor was visible intraoperatively. Gross examination of large hemorrhagic soft tissue mass measures 6 × 6 × 3 cm (inset). (f) Postoperative panorex view of the patient which shows complete healing of her bony defect with significant resolution in her unique facial deformity that resembles sarcoma.

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