H/o swelling on the right side of face and neck since 6-8 months. Swelling has gradually increased in size. Swelling was associated with pain and dysphagia.
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A large mass involving the body of right hemi-mandible with an aggressive periosteal reaction resembling a 'Sun-burst' pattern pathognomic of osteogenic sarcoma. The lesion is predominantly sclerotic showing strong enhancement with extension into the right lingual and buccal spaces. The fat planes with the adjacent muscles namely pterygoid and masseter are lost. The lesion is causing a mass effect on the hypopharynx and oropharynx which correlates with the symptom of dysphagia.
Features are suggestive of gnathic osteosarcoma.