Recurrent ameloblastoma of mandible - A case report (original) (raw)
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Ameloblastoma of the Mandible: A Case Report with Review of Literature
International Journal of Head and Neck Surgery, 2012
The ameloblastoma, particularly the mixed cystic/solid type, is the most clinically significant odontogenic tumor. The tumor is often locally aggressive and has a significant impact and may have a patient's morbidity and mortality. In this report, we present a case of a large ameloblastoma that presented with the typical radiographic features of variably sized radiolucent loculations. Microscopically, the tumor showed a pattern of acanthomatous variant predominating. The tumor was treated with a partial resection of the mandible.
Giant multiloculated ameloblastoma of the mandible: a case report and review of literature
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2016
Ameloblastomas, in general, are considered benign but locally invasive neoplasms. They present as slow growing, painless swellings and can grow to enormous sizes over the years. While planning the treatment of ameloblastoma, it is important to understand the growth characteristics and removing the full extension of tumor, including the surrounding tissue. Recurrence of ameloblastoma in many cases reflects the inadequacy or failure of the primary surgical procedure. We report a case of giant multiloculated ameloblastoma of the mandible with destruction of the cortical plate and extensive and rapid infiltration of the buccal mucosa. Along with the clinical and imaging features, the importance and method of ruling out malignant ameloblastoma and ameloblastic carcinoma in such a case is discussed.
Multilocular unicystic ameloblastoma of mandible
Case reports in dentistry, 2013
Introduction. We report a rare case of unicystic ameloblastoma (UA) of mandible which showed multilocular radiolucency on the left side of mandible on radiographic examination which is very unusual, and the majority of the cases of UAs till date has been reported of unilocular radiolucency. On histopathological examination, an odontogenic cystic lining that proliferates that intraluminally resembling ameloblastomatous epithelium was observed, leading to a definitive diagnosis of unicystic ameloblastoma. Case Presentation. A 42-year-old male patient presented with a swelling on the left side of the mandible extending from 33 to 36. Radiographically, it showed a multilocular radiolucent lesion resembling odontogenic cyst; however, the final diagnosis was made on histopathological ground with the inclusion of radiological and clinical features. Conclusion. It can be concluded that at present, histopathologic examination is the most sensitive tool for differentiating between odontogenic...
Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology
Ameloblastoma is a common benign, locally aggressive odontogenic neoplasm that usually occurs in the vicinity of the mandibular molars or ramus. Uncontrolled, ameloblastoma may cause significant morbidity and occasionally death. The majority of ameloblastomas are multicystic, which are more difficult to eradicate than the unicystic and peripheral varieties. Although surgery is the mainstay of treatment, the extent of resection is controversial. The challenge in managing ameloblastoma is in achieving complete excision such that chances of recurrence is minimal and reconstruction of the defect when the tumour is large.
Extensive Ameloblastoma of the Mandible
TAJ: Journal of Teachers Association, 2009
The ameloblastoma is the most common and aggressive odontogenic tumour of the jaws. But only rarely the anterior portions of the jaws are involved. Since extensive ameloblastoma of the mandible crossing the symphysis upto the canine region of the opposite site is a rare occurrence, so we are encouraged to present this case for academic interest. TAJ 2002; 15(2): 93-95
Radical management of solid ameloblastoma of the mandible: Report of a case with 5-year follow-up
Head & Neck Oncology
Ameloblastoma is a true neoplasm of odontogenic epithelial origin. This pathology can be classified into 4 groups: unicystic, solid or multicystic, peripheral, and malignant. Solid ameloblastomas of the mandible are the most common of them, and represent a challenging group of tumours to treat; in addition the follicular histopathological subtype has a high likelihood of recurrence. Thus, the challenges in the management of this tumour are to provide complete excision in addition to reconstruct the bony defect, in order to provide the patient with reasonable cosmetic and functional outcome. With this in mind, this paper aimed to describe the management of a solid multilocular ameloblastoma of follicular subtype in a 39-year-old female. Case report The authors report a case of a solid multilocular ameloblastoma of follicular subtype in a 39-year-old female who was successfully treated by partial resection of the mandible with immediate reconstruction using an iliac crest, as a donor ...
Segmental Resection of Mandible for Treatment Unicystic Ameloblastoma: a Case Report
Malahayati Nursing Journal
ABSTRACT Ameloblastoma is the most common odontogenic tumour as it usually does not form metastasis, it is considered as benign tumour with a locally invasive growth pattern and destruction of the jaw and the surrounding tissue. Ameloblastoma annual incidence is 0.5 per 1.000.000 people, higher incidences are found in Africa, China and India in comparison with the western countries. About 80% of ameloblastomas are located in mandible, mainly in the third molar region, and 20% in the maxilla, particularly in the posterior region. Unicystic ameloblastoma is associated with a smaller relapse risk and is the only type that is susceptible for conservative surgery. Standar treatment for ameloblastoma today is radical resection with 1 cm resection margins. Recurrence range from 0 to 15% conservative surgery including enucleation and curettage recurrence rets as high as 55%. Recurrence ameloblastoma problem are associated with development of metastasis and transformation into ameloblastic ...
Anterior mandibular ameloblastoma
Clinics and Practice, 2012
Ameloblastoma is a benign odontogenic tumor. These are usually asymptomatic until a large size is attained. Ameloblastoma has tendency to spread locally and has a high recurrence rate. Majority of ameloblastomas (80%) arise from the mandible. Ameloblastoma arising from anterior mandibular region (symphysis-menti) is rare. Very few cases of midline anterior ameloblastomas are reported in the literature. They often require wide local excision. Reconstruction of mandible in these cases is challenging. We present a case of mandibular ameloblastoma arising from symphysis-menti. Patient underwent wide surgical excision of the tumor followed by immediate reconstruction using free fibular vascular flap, stabilized with titanium reconstructive plates. A brief case report ands review of literature is presented.
Ameloblastic carcinoma of the mandible: A case report and review of the literature
Médecine Buccale Chirurgie Buccale
The purpose of this paper was to report an additional case of ameloblastic carcinoma of the left hemi-mandible and to review and analyze clinical, radiological and histopathologic features, treatment modalities and prognosis. Presentation of case: A 70 year old malepatient presented to Maxillofacial Department for a painful swelling of the left cheek. An ameloblastic carcinoma of the left hemi-mandible was diagnosed. He underwent radical surgical intervention comprising hemimandibulectomy, supraomohyoid neck dissection, and fibula free-flap reconstruction. Postoperative radiotherapy was employed. Discussion: Ameloblastic carcinoma of the mandible is a rare aggressive tumor with a poor prognosis. It can be seen in different ages. The most common symptom is a rapidly progressing painful swelling. It is defined as a malignant epithelial odontogenic tumor that retains the features of ameloblastic differentiation with cytologic features of malignancy. Non therapeutic consensus is established. However, wide surgical excision with radiotherapy is the most common treatment. Conclusion: Diagnosis of ameloblastic carcinoma at early stage and close periodic screening for metastasis are necessary to improve patient prognosis.