This case report was performed to evaluate the success of conservative treatment like surgical enucleation followed by iodoform gauze dressing in luminal unicystic ameloblastoma of the mandible. Nov 29, 2007 the follicular variant of the adenomatoid odontogenic tumor aot is thought to originate from the reduced enamel epithelium of the dental follicle. The tumor is often asymptomatic, presenting as a slowly. Unicystic ameloblastoma in a 17 year old female case report. Gardners syndrome is associated with multiple tumours and.
Introduction ameloblastoma is an odontogenic tumor with four distinct forms, solidmulticystic, peripheral, unicystic and desmoblastic. It is the second most common odontogenic neoplasm, and only odontoma outnumbers it in. Unicystic ameloblastoma, unilocular, multilocular introduction. Solidmulticystic ameloblastoma is the most common subtype while its variant unicystic ameloblastoma ua is relatively uncommon. Ameloblastoma is a benign epithelial odontogenic tumour often aggressive and destructive with the capacity to erode bone and invade adjacent structures. The patient was a 82yearold man who noticed swelling of the gingiva approximately 2 weeks prior to his initial visit. Unicystic ameloblastomas uas account for 6 to 15% of all intraosseous ameloblastomas in various studies and account for more than 90% of those found in the mandible1,2. However, a characteristic ameloblastomatous lining was evident on taking deeper sections of the other specimen that con rmed the diagnosis of unicystic ameloblastoma. Enucleation followed by open packing of iodoform gauze in.
Desmoplastic ameloblastoma is a rare variant of ameloblastoma. Conventional ameloblastoma demonstrates aggressive behavior, infiltrating into trabecular bone, whereas the unicystic type is less aggressive and is usually treated surgically as a cystic lesion. Ameloblastoma is a benign and locally aggressive epithelial odontogenic tumor, most commonly located in the mandible mainly in the molar and the ramus region. Ua is a rare, benign, less aggressive, and less invasive variant of. Ameloblastoma is a true neoplasm of odontogenic epithelial origin.
Among these types, unicystic ameloblastoma is the least. Ameloblastoma arising from a dentigerous cysta case report. Apart from the most commonly encountered clinicopathologic models, there are few variants, whose biological profile is unknown or not elicited. Case report multilocular unicystic ameloblastoma of mandible. Other clinical presentations of the disease were pain or anaesthesia of the affected area. Case studies dental science india volume 8 issue 11, november 2019. It is a true neoplasm of enamelorgan type of tissue which does not undergo differentiation to the point of enamel formation. An unusual case of unicystic intramural ameloblastoma. Here, we report the first case of unicystic ameloblastoma metastasizing to the cervical lymph nodes, and discuss the route of metastasis in this benign tumor. It is the second most common odontogenic neoplasm, and only odontoma outnumbers it in reported frequency of occurrence. Extensive type iii unicystic ameloblastoma a case report with.
Conservative management marsupialization of unicystic. The present report is the second case to be reported in the literature illustrating an ameloblastoma arising from a. Management of unicystic plexiform ameloblastoma in a 12 year old female. The present report is the second case to be reported in the literature illustrating an ameloblastoma arising from a residual cyst lining in a 62yearold male patient, suggesting that such an ameloblastic transformation of the residual cyst can occur in the older age group as well and supporting the hypothesis that unicystic ameloblastoma is. Ameloblastoma presents as a painless, slow growing hard mass 1 and in our case also, it was painless and hard swelling which took about 2 years before the patient had developed symptoms. Unicystic ameloblastoma accounts for only % of all the known cases in the scientific literature. It exhibits histological variation which includes follicular, acanthomatous, granular cell, desmoplastic, basal cell, keratotic, calcifying, osteoplastic and ossifying types. It is often aggressive and destructive, with the capacity to attain great size, erode bone and invade adjacent structures. Case report a 21yearold male patient reported to our centre with complaint of swelling and occasional pain in relation to.
We report a case of extensive unicystic ameloblastoma of mandible in. The origin of the extrafollicular variant however, remains less clear. Ameloblastoma is a benign odontogenic neoplasm which frequently affects the mandible. Ameloblastoma has high rate of recurrence and are abominable for their fast growth. Unicystic ameloblastoma is believed to be less aggressive and responds more favorably to conservative surgery than the solid or multicystic ameloblastomas. Unicystic ameloblastoma presenting as multilocular lesion. Unicystic ameloblastoma has several clinicradiographic, histological types. An unusual case of a unicystic ameloblastoma mimicking a dentigerous cyst in a 14yearold patient with gardners syndrome is described. Apart from commonly encountered clinicopathological features, few variants show distinct biological behavior. Unicystic ameloblastoma, plexiform ameloblastoma, enucleation case report a 14yearold boy was referred to the oral and maxillofacial surgery clinic with an asymptomatic swelling on his right cheek table fig1, which extended from the lower border of his mandible to the tragus of his ear and anteroposteriorly, from the corner of.
Unicystic ameloblastoma in a 17 year old female case. Here we report a distinctive case of mural unicystic ameloblastoma of mandible in a 17year old girl with the radiographic presentation as mentioned above. This paper presents a case of an extrafollicular aot, which we believe originated from the epithelial lining of a unicystic ameloblastoma, and. Unicystic ameloblastoma with diverse mural proliferation a hybrid. Unicystic ameloblastoma usually presents in posterior mandibular ramus region, while it is rare and atypical in posterior maxil. It accounts for 515% of all intraosseous ameloblastomas. Case report a 17year old female attended the maxillofacial surgery outpatient clinic with four years history of painless frontal lower jaw swelling. Ameloblastoma is most common tumor of odontogenic origin. Mural varianta rare case report according to the recent literatures, ameloblastoma is a benign tumour of jaw bones with locally invasive capacity. Unicystic ameloblastoma metastasizing to multiple cervical. Unicystic ameloblastoma of the mandible an unusual case.
Introduction many benign lesions cause mandibular swellings, and these can be divided into those of odontogenic and nonodontogenic origin. Ameloblastoma is a benign odontogenic tumor that can be locally aggressive and invasive. Adenomatoid odontogenic tumor aot originating in a. Unicystic ameloblastoma of mandible with an unusual diverse. Ameloblastoma is a true neoplasm of odontogenic origin and benign in nature. In the present case, authors report a case of unicystic ameloblastoma with luminal type in 18 year old male. We think that our case report provides new insights into the approach to the ameloblastoma diagnosis. Though rare in itself, presence of granular cells along with acanthomatous changes occurring in unicystic ameloblastoma is a rare. Biorklund a, elner a, snorradottir m 1979 clinical records, ameloblastoma of the maxilla, report of three cases. Pdf unicystic ameloblastoma a case report researchgate.
Hemimaxillectomy was done and the specimen was submitted to the department of oral and maxillofacial pathology for the histopathological examination. Oct 18, 2016 unicystic ameloblastoma usually presents in posterior mandibular ramus region, while it is rare and atypical in posterior maxillary region. Rakesh s ramesh,suraj manjunath,tanveer h ustad,saira pais and k shivkumar. Conservative management extensive type iii unicystic. Expression of proliferating cell nuclear antigen pcna and ki67 in unicystic ameloblastoma. But it has a high percentage of local recurrence with possible malignant development when treated inadequately. The term ameloblastoma includes several clinicoradiological and histological types. A case report richa wadhawan, bhuvnesh sharma, pulkit sharma and dharti gajjar abstract ameloblastomas are infamous for their invasive growth and their tendency to recur. We agree with authors who have pointed out that a single. Maxillary ameloblastomadiagnostic challenge for the surgeons.
Handa h, bailoor dn, naidu g, shrivastava k, raghuvanshi v. We are presenting a case of unicystic ameloblastoma in a 17year old female. Review open access unicystic ameloblastoma of the mandible. Unicystic ameloblastoma usually presents in posterior mandibular ramus region, while it is rare and atypical in posterior maxillary region. This case report presents a case of unicystic ameloblastoma with a multilocular radiographic appearance in the anterior mandible of a 45yearold female. Follicular and plexiform patterns are the commonly seen histopathological patterns in unicystic ameloblastoma. Management of unicystic plexiform ameloblastoma in a 12. Scaccia fj, strauss m, arnold j, agarwal a 1991 maxillary ameloblastoma. Unicystic ameloblastoma is a rare type of ameloblastoma, accounting for about 6% of ameloblastomas, which is most often seen in young patients with 50% of such tumors diagnosed during. The follicular variant of the adenomatoid odontogenic tumor aot is thought to originate from the reduced enamel epithelium of the dental follicle. Unicystic ameloblastoma includes several clinicoradiographical and histological types. Nil introduction ameloblastoma is a benign but locally aggressive odontogenic epithelial neoplasm.
Case report unicystic ameloblastoma arising from a residual cyst. In this case report we present a uncommon multilocular unicystic ameloblastoma encountered in a 40 year old female patient. Nitin gupta et alcase report ameloblastoma of the mandible. Complete microscopic examination of the entire sample and a careful post operative followup is highly recommended. Ameloblastomas are infamous for their invasive growth and their tendency to recur. Show full abstract associated with impacted third molar tooth. Case presentation we report a case of 16 year old kosovar male, albanian ethnicity, who presented with a swelling located in right maxillary region. It is a common and aggressive odontogenic epithelial tumor and is. Computed tomography showed a radiolucent area with little. Unicystic ameloblastoma of the maxilla j indian soc pedod prev. We report a case of unicystic ameloblastoma in a 34yearold female, key words odontogenic tumor.
Here we report a distinctive case of unicystic ameloblastoma of mandible with unusual multilocular radiolucent pattern in the posterior mandible with a unilocular radiolucency anteriorly crossing the midline, which is a rarity in the literature of uca. We report a case of extensive unicystic ameloblastoma of mandible in young male patient that showed tumorous characteristics on computed tomography ct and was treated conservatively by decompression. Here we are presenting a case report of a 19 years old male patient. Case report unicystic mural ameloblastoma an unusual. Ameloblastomatous coc should be differentiated from ameloblastoma ex coc, unicystic ameloblastoma and calcifying ghost cell odontogenic tumor to prevent unnecessary invasive approaches. Ameloblastoma is the most common aggressive benign odontogenic tumor of the jaws. Radiographically, the lesion show features similar that of dentigerous cyst as the cyst was.
This report is a rare case of unicystic ameloblastoma of the maxilla that was treated by enucleation under suspicion of a radicular cyst related to a dens in dente. Background ameloblastoma is a benign epithelial odontogenic tumor. Case report unicystic mural ameloblastoma an unusual case. In this study, we present a case of unicystic ameloblastoma ua treated by marsupialization followed by surgical enucleation as a conservative approach. Here we report a distinctive case of unicystic ameloblas toma of right mandible with unusual mural histopathologi cal findings, where follicular and. Mural unicystic ameloblastoma crossing the midline. Ameloblastomas frequently occur in relatively young people, but are rarely seen in people aged 80 years or older. Case report clinical and pathological features of desmoplastic ameloblastoma. In the present case, a lining epithelium resembling dentigerous cyst lining was evident in one specimen. Jun 25, 2005 an unusual case of a unicystic ameloblastoma mimicking a dentigerous cyst in a 14yearold patient with gardners syndrome is described. Pdf ameloblastoma, a true neoplasm of odontogenic epithelium is the second most common odontogenic tumor following odontoma. Among these types, unicystic ameloblastoma is the least encountered variant of the.
We report a case of 16 year old kosovar male, albanian ethnicity, who presented with a swelling located in right maxillary region. In 2009, a 26yearold japanese female patient was referred to our clinic, presenting with radiolucent cystic lesion in the left mandibular region. A provisional diagnosis of ameloblastoma adenomatoid odontogenic tumor was given based on clinical and radiographic findings. Unicystic ameloblastoma presenting in gardners syndrome. It is a common and aggressive odontogenic epithelial tumor and is rarely metastatic. A case report c navya,1 cr murali,2 s soundarya,3 nv vani4 abstract ameloblastoma is considered as a true neoplasm of odontogenic epithelial origin which includes several clinicoradiological and histological types.
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