Anterior mandibular ameloblastoma

Introduction: Ameloblastoma is a benign but locally invasive neoplasm generally diagnosed in the fourth and fifth decades of life. Its location is the mandible in 80% of the cases and the maxilla in 20%. Histopathologically, it may be classified as follicular, plexiform, acanthomatous, granular cell...

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Bibliographic Details
Main Authors: Rangel Teles Freire, Agnaldo Rocha Prata Júnior, Ricardo Luiz Cavalcanti de Albuquerque Júnior, Liane Maciel de Almeida Souza
Format: Article
Language:English
Published: Editorial Ciencias Médicas 2020-12-01
Series:Revista Cubana de Estomatología
Subjects:
Online Access:https://revestomatologia.sld.cu/index.php/est/article/view/3391
Description
Summary:Introduction: Ameloblastoma is a benign but locally invasive neoplasm generally diagnosed in the fourth and fifth decades of life. Its location is the mandible in 80% of the cases and the maxilla in 20%. Histopathologically, it may be classified as follicular, plexiform, acanthomatous, granular cells or basal cells. Desmoplastic ameloblastoma has been further classified as a histological subtype. Radiographically, it presents as either unicystic or multicystic, in which case it resembles a honeycomb or soap bubbles. Objective: Describe a case of ameloblastoma with uncommon clinical and imaging characteristics. Case presentation: A white female 72-year-old patient from the city of Itabaiana, Sergipe, presented with increased volume (of slow development) in her anterior mandibular region. Computed tomography revealed a hypodense, multiloculated area in the anterior mandibular region. Incisional biopsy and imaging tests were performed. The diagnosis was follicular ameloblastoma with a broad area of cystic degeneration. It was decided to perform total excision of the lesion. A circular bone housing was formed, which was treated with Carney’s solution. Conclusions: The present report is of great relevance, since a case is described which contradicts the existing facts and points to the importance of making a correct diagnosis. Although the behavior of oral cavity lesions is well known, it is extremely important to continue to study them.
ISSN:0034-7507
1561-297X