26656340 Visualization

This case report was approved by the Review Board of Shandong Power Central Hospital and the patient's parents signed informed consent for publication of the case report and any accompanying images.
A 4 Age - year Age - old Age female Sex child presented Clinical_event at the outpatients Nonbiological_location department Nonbiological_location with slowly Detailed_description enlarging Detailed_description , painless Detailed_description , symmetrical Detailed_description swelling Sign_symptom of both Biological_structure cheeks Biological_structure .
When History the History girl History was History approximately History 2 Date years Date old Date , the History parents History noticed History a History change History in History her History facial History symmetry, History which History later History became History more History obvious History .
On palpation Diagnostic_procedure , the swellings Sign_symptom were bony Detailed_description and hard Detailed_description in consistency.
The skin Biological_structure over the swelling Sign_symptom was smooth Texture and freely Detailed_description movable Detailed_description , with no Lab_value increase Lab_value in temperature Diagnostic_procedure (Fig.1).
There was no History history History of History any History trauma, History pain, History pus History discharge, History blood History discharge, History fever, History paresthesia, History anorexia, History or History weight History loss History .
No History significant History family History history History was History reported History .
Panoramic Detailed_description radiography Diagnostic_procedure revealed involvement Sign_symptom of both the mandible Biological_structure and the maxilla Biological_structure , and showed a soap Shape bubble Shape - like Shape multilocular Detailed_description radiolucency Sign_symptom with thin Detailed_description and Detailed_description expanded Detailed_description cortices Detailed_description .
Unerupted Sign_symptom teeth Sign_symptom included: 15, Biological_structure 25, Biological_structure 35, Biological_structure 37, Biological_structure 45 Biological_structure , and 47 Biological_structure was impacted Sign_symptom (Fig.2).
Multislice Detailed_description computed Diagnostic_procedure tomography Diagnostic_procedure showed the presence of multilocular Detailed_description cystic Detailed_description lesions Sign_symptom filled with soft Detailed_description - tissue Detailed_description density Detailed_description material Detailed_description and dental Biological_structure anomalies Sign_symptom affecting the body Biological_structure and Biological_structure the Biological_structure sides Biological_structure of Biological_structure the Biological_structure mandible Biological_structure .
Similar lesions Sign_symptom were also observed in the maxilla Biological_structure (Fig.3).
A biopsy Diagnostic_procedure was obtained from the central Biological_structure area Biological_structure of Biological_structure the Biological_structure left Biological_structure rami Biological_structure .
Histologic Diagnostic_procedure examination Diagnostic_procedure showed many Detailed_description large Detailed_description multinucleated Detailed_description giant Sign_symptom cells Sign_symptom in a loose Detailed_description , delicate Detailed_description fibrillar Detailed_description connective Biological_structure tissue Biological_structure stroma Biological_structure containing large Biological_structure numbers Biological_structure of Biological_structure fibroblasts Biological_structure and many Biological_structure small Biological_structure blood Biological_structure vessels Biological_structure (Fig.4).
As the child grows older, the lesions often become static and may show regression at puberty.
In the current case, no surgical Therapeutic_procedure intervention Therapeutic_procedure was under taken and the patient was followed Clinical_event up Clinical_event at regular Detailed_description intervals Detailed_description .