Ameloblastoma: A Report of Two Cases | Chapter 2 | Medicine and Medical Research: New Perspectives Vol. 7

 

Ameloblastoma is a slow-growing locally aggressive, benign odontogenic epithelium with a greater tendency for recurrence and involves aggressive bone loss and teeth. It is believed to be derived from cell rests of the enamel organ, either remnants of the dental lamina or Hertwig's sheath, the epithelial rest of Malassez. An Unicystic Ameloblastoma (UA) represents an ameloblastoma variant, that's a cyst. They are often related to an unerupted third molar, with a peak incidence within the third and fourth decade of life.

 

The most common site of preference is the mandibular molar and ramus area than the anterior and premolar region. The article presents two case series of unicystic ameloblastoma of a 25-year-old female who had a localized swelling in the left side of the mandible which resembled a keratocystic odontogenic tumor clinically and radiographically. Based on histopathological examination the final diagnosis was unicystic ameloblastoma with the mural pattern. The second case report presented a 32-year-old female with a diffuse swelling in the left lower jaw which histopathologically revealed ameloblastoma with the plexiform variant. An incisional biopsy was done to get a definitive diagnosis for both cases. A postoperative panoramic radiograph was taken and was found to be satisfactory in both cases. The case series presented certain unique features of female predilection and a multilocular variant with mural and plexiform pattern unicystic ameloblastoma. Both patients were surgically managed more conservatively with enucleation and cauterization as cystic types are found to be less aggressive compared to solid variants of ameloblastoma. They were on a regular follow period postoperatively. It can be concluded that unicystic ameloblastoma with a mural growth pattern has a tendency for recurrence if inadequately managed surgically. Proper management avoids the propensity of recurrence rate.

 

Author (s) Details

Gayathri Devi M.
Department of Oral Medicine & Radiology, The Tamil Nadu Dr. M.G.R Medical University, India.

 

Bakyalakshmi K.
Department of Oral Medicine & Radiology, The Tamil Nadu Dr. M.G.R Medical University, India.

 

Cap Regu P.
Department of Oral Medicine & Radiology, The Tamil Nadu Dr. M.G.R Medical University, India.

 

Vijayakumar P
Department of Oral Medicine & Radiology, The Tamil Nadu Dr. M.G.R Medical University, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v7/1971

An Unusual Case Report on Antrochoanal Polyp in Follicular Ameloblastoma of Maxilla| Chapter 7 | Perspective of Recent Advances in Medical Research Vol. 2

 The present case report focal points an Antrochoanal Polyp in an Unusual Case of Follicular Ameloblastoma of Maxilla. A well-known excellent clinical entity famous to have originated from odontogenic containers is the maxillary follicular ameloblastoma. Although ameloblastoma can develop from dental epithelial remnants, it is exceptional for ameloblastoma to develop in the bones of chin with an epicentre from the maxillary antrum alternatively the alveolar process. Here we report a rare performance of this tumor as antrochoanal growth with center of activity in maxillary antrum in a 45-year-granny who bestowed with unusual afflictions of dry cough with a past of 6 months along with hypothyroidism. Interestingly, the presenting manifestation of the patient being only dry cough (without some other nasal syndromes such as nasal blockage, first fullness, first heaviness) is an unusual performance. Ameloblastoma of the maxilla can present early with an antrochoanal polyp, so this condition needs expected considered in the characteristic diagnosis. As a result, careful histological test is essential for early detection and after management by appropriate en-bloc redistribute. Additional meticulous plant structure is also necessary, as it stands careful effect.

Author(s) Details:

Anuja S. Kulkarni,
Department of ENT and Head-Neck Surgery, Jagjivan Ram Hospital, Mumbai, Maharashtra, India.

Mrunal Kesari,
Department of Pathology, Jagjivan Ram Hospital, Mumbai, Maharashtra, India.

Yoganand Patil,
Department of Pathology, Jagjivan Ram Hospital, Mumbai, Maharashtra, India.

Please see the link here: https://stm.bookpi.org/PRAMR-V2/article/view/9015