Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation
Abstract Background Ameloblastoma is the commonest odontogenic tumour of epithelial origin with a high incidence for developing local recurrence. We present a patient who developed local recurrence in both soft tissue and bone graft 17 years after the initial presentation. Case presentation A 75-yea...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-01-01
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| Series: | Journal of the Egyptian National Cancer Institute |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43046-019-0012-1 |
| _version_ | 1818453311603343360 |
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| author | Omar Hamdy Sara Raafat Gehad A. Saleh Shadi Awny Abdelhadi M. Shebl Mohammed A. Hegazy |
| author_facet | Omar Hamdy Sara Raafat Gehad A. Saleh Shadi Awny Abdelhadi M. Shebl Mohammed A. Hegazy |
| author_sort | Omar Hamdy |
| collection | DOAJ |
| description | Abstract Background Ameloblastoma is the commonest odontogenic tumour of epithelial origin with a high incidence for developing local recurrence. We present a patient who developed local recurrence in both soft tissue and bone graft 17 years after the initial presentation. Case presentation A 75-year-old female with a previous history of right hemimandibulectomy and rib reconstruction for ameloblastoma in 1999 presented to our centre with a large cystic mouth floor swelling, biopsy from which revealed recurrent ameloblastoma. The patient underwent excision of the recurrent mass en bloc with the cystic swelling through oral and cervical approaches. The patient was discharged after 5 days with an uneventful postoperative course and with a free 2-year follow-up from further recurrence. Conclusion Ameloblastoma is a locally aggressive tumour for which wide local excision with adequate margins is the best management approach. Recurrence of ameloblastoma even after adequate resection is not uncommon, and its management is considered a surgical challenge. A very long time may pass between the initial presentation and the development of recurrence. |
| first_indexed | 2024-12-14T21:36:58Z |
| format | Article |
| id | doaj.art-fc3a319e12f9479ea862519f13baa3db |
| institution | Directory Open Access Journal |
| issn | 2589-0409 |
| language | English |
| last_indexed | 2024-12-14T21:36:58Z |
| publishDate | 2020-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of the Egyptian National Cancer Institute |
| spelling | doaj.art-fc3a319e12f9479ea862519f13baa3db2022-12-21T22:46:34ZengSpringerOpenJournal of the Egyptian National Cancer Institute2589-04092020-01-013211410.1186/s43046-019-0012-1Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentationOmar Hamdy0Sara Raafat1Gehad A. Saleh2Shadi Awny3Abdelhadi M. Shebl4Mohammed A. Hegazy5Surgical Oncology Unit, Oncology Center Mansoura University (OCMU)Pathology Department, Faculty of Medicine, Mansoura UniversityRadiology Department, Faculty of Medicine, Mansoura UniversitySurgical Oncology Unit, Oncology Center Mansoura University (OCMU)Pathology Department, Faculty of Medicine, Mansoura UniversitySurgical Oncology Unit, Oncology Center Mansoura University (OCMU)Abstract Background Ameloblastoma is the commonest odontogenic tumour of epithelial origin with a high incidence for developing local recurrence. We present a patient who developed local recurrence in both soft tissue and bone graft 17 years after the initial presentation. Case presentation A 75-year-old female with a previous history of right hemimandibulectomy and rib reconstruction for ameloblastoma in 1999 presented to our centre with a large cystic mouth floor swelling, biopsy from which revealed recurrent ameloblastoma. The patient underwent excision of the recurrent mass en bloc with the cystic swelling through oral and cervical approaches. The patient was discharged after 5 days with an uneventful postoperative course and with a free 2-year follow-up from further recurrence. Conclusion Ameloblastoma is a locally aggressive tumour for which wide local excision with adequate margins is the best management approach. Recurrence of ameloblastoma even after adequate resection is not uncommon, and its management is considered a surgical challenge. A very long time may pass between the initial presentation and the development of recurrence.https://doi.org/10.1186/s43046-019-0012-1AmeloblastomaRecurrenceAutograftBenign |
| spellingShingle | Omar Hamdy Sara Raafat Gehad A. Saleh Shadi Awny Abdelhadi M. Shebl Mohammed A. Hegazy Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation Journal of the Egyptian National Cancer Institute Ameloblastoma Recurrence Autograft Benign |
| title | Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation |
| title_full | Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation |
| title_fullStr | Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation |
| title_full_unstemmed | Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation |
| title_short | Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation |
| title_sort | recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation |
| topic | Ameloblastoma Recurrence Autograft Benign |
| url | https://doi.org/10.1186/s43046-019-0012-1 |
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