DESMOPLASTIC AMELOBLASTOMA PDF

Treatment[ edit ] Tracheal intubation is difficult in this child with a large ameloblastoma. While chemotherapy , radiation therapy , curettage and liquid nitrogen have been effective in some cases of ameloblastoma, surgical resection or enucleation remains the most definitive treatment for this condition. However, in a detailed study of patients, chemotherapy and radiation therapy was contraindicated for the treatment of ameloblastomas. Conservative treatment requires very careful case selection.

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E-mail: moc. This article has been cited by other articles in PMC. Abstract Desmoplastic ameloblastoma DA is a relatively rare histological variant of ameloblastoma with specific clinical, radiological, and histological features. This tumor is more commonly seen in the anterior region of jaws as a mixed radiopaque-radiolucent lesion resembling benign fibro-osseous lesions.

Metaplastic bone formation has been reported in few cases. This report describes a lesion in the left anterior maxilla of a young female patient. It arises from odontogenic epithelium and is known for its distinct aggressive clinical behavior and characteristic histologic picture.

A characteristic feature is an almost equal distribution in location between the maxilla and mandible. Radiologically, the desmoplastic variant exhibits atypical and varied radiographic features such as: Localized irregular multilocular radiolucency with indistinct borders, or a mixed radiopaque-radiolucent appearance with ill-defined margins similar to fibro-osseous lesion, or a massive expansile osteolytic lesion with honeycomb, mottled or multilocular appearance.

DA may be defined as a benign but locally invasive variant consisting of proliferating, irregular, often bizarrely shaped islands and cords of odontogenic epithelium of varying sizes embedded in a desmoplastic connective tissue stroma. Formation of metaplastic bone trabeculae osteoplasia rimmed by active osteoblasts has been described in a few cases. The swelling was slow in growth and present since 4 months.

She had also noticed a slight downward movement of the affected teeth and had mild pain. On examination, a bony hard swelling was seen in relation to 21, 22 and 23 on the buccal aspect measuring about 2.

It was non-tender. Grade I mobility of 21 and 22 was also noticed. Radiographs revealed the presence of irregular radiolucencies with faint radio-opacities in the periapical region of 22 and Lamina dura of the teeth was hazy and teeth were seen to be displaced [ Figure 1 ].

A provisional diagnosis of benign fibro-osseous lesion was made and an incisional biopsy was done.

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Desmoplastic Ameloblastoma: A Case Report

E-mail: moc. This article has been cited by other articles in PMC. Abstract Desmoplastic ameloblastoma DA is a relatively rare histological variant of ameloblastoma with specific clinical, radiological, and histological features. This tumor is more commonly seen in the anterior region of jaws as a mixed radiopaque-radiolucent lesion resembling benign fibro-osseous lesions. Metaplastic bone formation has been reported in few cases. This report describes a lesion in the left anterior maxilla of a young female patient.

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Ameloblastoma

The desmoplastic variant of ameloblastoma usually appears in the anterior and premolar regions as a mixed radiolucent and radiopaque lesion, sometimes resembling a benign fibro-osseous lesion [1]. Ameloblastoma is a locally aggressive tumor that may cause recurrence and in rare cases, malignant transformation with repeated postsurgical recurrences [2] [3]. In this paper we present a case of a year-old female with swelling in the left upper jaw, bopsy of which turned out to be desmoplastic ameloblastoma. Open Journal of Stomatology, 7, Introduction Until now, only cases have been reported in literature. The DA was first described by Eversole et al.

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Desmoplastic ameloblastoma with osteoplasia: Review of literature with a case report

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