Bir fibro-kemik lezyonu taklit eden desmoplastik ameloblastom: Literatür gözden geçirilen bir Hint vakasının raporu
Öz
Desmoplastic ameloblastoma shows distinct clinical, radiographic and histopathologic characteristics. It is characterised by unusual histomorphology comprising of extensive stromal colonisation or desmoplasia. The mixed radiopaque-radiolucent appearance of the tumor makes its diagnosis complex leading to delay in treatment or lack of aggression in the treatment modality. This, along with its propensity to occur in the maxilla and its infiltrative nature makes desmoplastic ameloblastoma a perilous lesion to misdiagnose. We describe here a case of desmoplastic ameloblastoma that showed clinical and radiographic features of a fibro-osseous lesion thereby necessitating histopathologic confirmation. With a dearth of reported cases in the Indian subcontinent, we hope to improve the body of knowledge regarding this unusual lesion and demonstrate the importance of early and accurate diagnosis.
Anahtar Kelimeler
Kaynakça
- 1. McClary AC, West RB, McClary AC, Pollack JR, Fischbein NJ, Holsinger CF et al.. Ameloblastoma: a clinical review and trends in management. Eur Arch Otorhinolaryngol. 2016;7:1649-61.
- 2. Cusack JW. Report of the amputations of the lower jaw. Dublin Hop Rec. 1827;4:1–38.
- 3. Ivery RH, Churchill HR. The need of a standardized surgical and pathological classification of tumors and anomalies of dental origin. Am Assoc Dent Sch Trans. 1930;7:240–5.
- 4. Laxmidevi BL, Kokila G, Mahadesh J. Ameloblastoma-Adding perspectives. Journal of Dental Sciences and Research. 2010;1(2):11-22.
- 5. Eversole LR, Hansen LS, Leider AS. Ameloblastomas with pronounced desmoplasia. J Oral Maxillofac Surg 1984;42:735-40.
- 6. Sivapathasundharam B, Einstein A, Syed RI. Desmoplastic ameloblastoma in Indians: report of five cases and review of literature. Indian J Dent Res. 2007;18:218-21.
- 7. Savithri V, Janardhanan M, Suresh R, Kumar RB. Desmoplastic ameloblastoma with osteoplasia: Review of literature with a case report. J Oral Maxillofac Pathol. 2013;17:298-301.
- 8. Laxmana AR, Gogineni SB, Thomas PS, Shetty SR. Desmoplastic ameloblastoma - a report of two clinical cases. Braz J Oral Sci. 2010;9:137-41.
- 9. Barnes L, Eveson JW, Reichart PA, Sidransky D. World Health Organization Classification of Tumours. Pathology and genetics of head and neck tumours. Lyon, IARC Press, 2005.
- 10. Pillai RS, Ongole, R, Ahsan A, Radhakrishnan RA, Pai KM. Recurrent desmoplastic ameloblastoma of the maxilla: a case report. J Can Dent Assoc. 2004;70:100-4.
- 11. Manuel S, Simon D, Rajendran R, Naik BR. Desmoplastic ameloblastoma: a case report. Oral Maxillofac Surg. 2002;60:1186-8.
- 12. Waldron CA, El-Mofty SK. A histopathological study of 116 ameloblastomas with special reference to the desmoplastic variant. Oral Surg Oral Med Oral Pathol. 1997;63:441-51.
- 13. Sun ZJ, Wu YR, Cheng N, Zwahlen RA, Zhao YF. Desmoplastic ameloblastoma: a review. Oral Oncol. 2009;45:752-9.
Öz
Desmoplastik ameloblastoma farklı klinik, radyografik ve histopatolojik özellikler gösterir. Kapsamlı stroma kolonizasyonu veya desmoplaziyi içeren olağandışı histomorfoloji ile karakterizedir. Tümörün karışık radyoopak-radyolusent görünümü, tanıyı karmaşık hale getirir ve tedavi modalitesinde tedavide gecikmeye veya aggresivite eksikliğine neden olur. Bu maksillerde ortaya çıkma eğilimi ve infiltratif doğası ile birlikte desmoplastik ameloblastoma yanlış teşhis için tehlikeli bir lezyon oluşturur. Burada fibro-osseöz lezyonun klinik ve radyografik özelliklerini gösteren, bu nedenle histopatolojik doğrulama gerektiren bir desmoplastik ameloblastom olgusunu sunuyoruz. Hint alt kıtasında bildirilen vakaların azlığı ile bu alışılmadık lezyonla ilgili bilgi birikimimizi iyileştirmeyi ve erken ve doğru teşhisinin önemini ortaya koymayı umuyoruz.
Anahtar Kelimeler
Kaynakça
- 1. McClary AC, West RB, McClary AC, Pollack JR, Fischbein NJ, Holsinger CF et al.. Ameloblastoma: a clinical review and trends in management. Eur Arch Otorhinolaryngol. 2016;7:1649-61.
- 2. Cusack JW. Report of the amputations of the lower jaw. Dublin Hop Rec. 1827;4:1–38.
- 3. Ivery RH, Churchill HR. The need of a standardized surgical and pathological classification of tumors and anomalies of dental origin. Am Assoc Dent Sch Trans. 1930;7:240–5.
- 4. Laxmidevi BL, Kokila G, Mahadesh J. Ameloblastoma-Adding perspectives. Journal of Dental Sciences and Research. 2010;1(2):11-22.
- 5. Eversole LR, Hansen LS, Leider AS. Ameloblastomas with pronounced desmoplasia. J Oral Maxillofac Surg 1984;42:735-40.
- 6. Sivapathasundharam B, Einstein A, Syed RI. Desmoplastic ameloblastoma in Indians: report of five cases and review of literature. Indian J Dent Res. 2007;18:218-21.
- 7. Savithri V, Janardhanan M, Suresh R, Kumar RB. Desmoplastic ameloblastoma with osteoplasia: Review of literature with a case report. J Oral Maxillofac Pathol. 2013;17:298-301.
- 8. Laxmana AR, Gogineni SB, Thomas PS, Shetty SR. Desmoplastic ameloblastoma - a report of two clinical cases. Braz J Oral Sci. 2010;9:137-41.
- 9. Barnes L, Eveson JW, Reichart PA, Sidransky D. World Health Organization Classification of Tumours. Pathology and genetics of head and neck tumours. Lyon, IARC Press, 2005.
- 10. Pillai RS, Ongole, R, Ahsan A, Radhakrishnan RA, Pai KM. Recurrent desmoplastic ameloblastoma of the maxilla: a case report. J Can Dent Assoc. 2004;70:100-4.
- 11. Manuel S, Simon D, Rajendran R, Naik BR. Desmoplastic ameloblastoma: a case report. Oral Maxillofac Surg. 2002;60:1186-8.
- 12. Waldron CA, El-Mofty SK. A histopathological study of 116 ameloblastomas with special reference to the desmoplastic variant. Oral Surg Oral Med Oral Pathol. 1997;63:441-51.
- 13. Sun ZJ, Wu YR, Cheng N, Zwahlen RA, Zhao YF. Desmoplastic ameloblastoma: a review. Oral Oncol. 2009;45:752-9.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2017 |
| Kabul Tarihi | 2 Kasım 2016 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 42 Sayı: 3 |
Cited By
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Hybrid ameloblastoma of anterior maxilla: A rare and puzzling pathologic entity – Case report with systematic review
Contemporary Clinical Dentistry
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https://doi.org/10.4103/ccd.ccd_341_18
