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Figure 1. Intra-oral image of friction lesion at the level of
the left cheek (A ). Oral lesion after biopsy and chemotherapy
(B ).
Figure 2. Panoramic radiograph with an osteolytic lesion at the
left corner of the jaw. Mark the absence of a cortical border around the
follicular sac. (compare with the contralateral side)
Figure 3 . Coronal PET-CT
image showing various abdominal metastases, mark the femoral
hyperintensity (A ). Axial MRI image showing the lesion of the
left jaw (B ). Axial CT image of a mass in the left masseter
muscle region, fixed on the ascending mandibular ramus with osteolysis
of the bony tissue (C ).
Figure 4 . Histopathology of an incisional biopsy of the mucosa
of the jaw (A ). H&E stain shows the lesion is composed of a
diffuse proliferation of medium-sized, monomorphic blastoid cells with
round vesicular to hyperchromatic nuclei. The nuclei contained small
nucleoli and numerous mitotic figures were present. Between the cells
there are tingible body macrophages giving rise to a starry sky
appearance. The cells express CD20 (B ), CD10 (C ), but
no BCL2 (D ). The proliferation index is very high (E ),
and there is nuclear expression of MYC (F ) in the majority of
cells, due to a MYC-rearrangement, proven by FISH. All images are taken
at 400X magnification, except A , taken at 200X.