Not metastasize, but locally invasive

Common site: Mandible > Maxilla

• Maxilla:
  • Zygomatic bone
  • Premolar/molar region
  • Maxillary sinus

• Mandible:
  • Molar region
  • Angle
  • Ramus

Clinical:

• Painless
• Slow progressive swelling of face
• Missing, loosened or displaced teeth

Radiology:

• Tennis racket appearance
• Large radiolucency
• Displaced teeth

Histology:

• Stellate mesenchymal cells with branching processes
• Abundant acid mucopolysaccharide stroma

Management:

• Wide surgical excision
• Enucleation
• Good prognosis
• Can recur

Picture