Among the ameloblastomas, the desmoplastic variation is rare. The desmoplastic ameloblastoma (DA) is characterized by specific clinical, imaging, and. Desmoplastic ameloblastoma (DA) is a rare variant of ameloblastoma, and less than patients have been reported in the literature. The present case. Desmoplastic Ameloblastoma is a rare variant of ameloblastoma. 90 cases of desmoplastic ameloblastoma have been reported so far in literature. We are.

Author: Zuluzuru Kejas
Country: Suriname
Language: English (Spanish)
Genre: Software
Published (Last): 26 May 2015
Pages: 374
PDF File Size: 12.61 Mb
ePub File Size: 13.26 Mb
ISBN: 168-5-24699-909-7
Downloads: 23403
Price: Free* [*Free Regsitration Required]
Uploader: Salkree

Pathology of the desmoplastic ameloblastoma. It has been reported that DA exhibits more aggressive behavior than other types of ameloblastoma. Patient was observed to be unable to appose his lips due to the size of the mass. The location of this lesion, its histology and radiological features differ from those of conventional AM. Areas with only narrow strands of epithelial cells within desmoplastic stroma may simulate odontogenic fibroma.

The central area consists of swirled, hypercellular, spindle-shaped, or squamous epithelial cells. Imaging Sci Dent ; Indian J Dent Res ; Moreover, the radio-graphic features of this lesion rarely point towards ameloblastoma.

Desmoplastic ameloblastoma

Archives of Iranian Medicine. How to cite this article: We therefore chose enucleation and curettage and opted for preservation of the inferior alveolar nerve despite understanding the increased risk of tumor recurrence.

Points in favor of myxoma included its female preponderance, potential to attain considerable size without noticeable signs and symptoms, association with missing tooth canine in this caseits predilection for premolar—first molar region in the maxilla and edsmoplastic ill -defined borders on radiographs. The lesion was treated via enucleation and curettage of the marginal bone and fenestration. Remnants of non-neoplastic bone often seem to remain in the tumor tissue.


Studies have been done to find whether the bone found is amelovlastoma bone or mature bone.

Columnar cells surrounding stellate reticulum. Hybrid ameloblastoma lesions were first described by Waldron and El-Mofty [ 13 ] as a tumor variant in which areas of follicular and plexiform ameloblastoma coexist with areas dezmoplastic are characteristic of DA.

Desmoplastic Ameloblastoma: A Case Report

Buccolingual expansion of the maxillary process was evident. The present case exhibited abundant collagen fibers in the connective tissue stroma. The swelling was bony hard in consistency, nonfluctuant, nonreducible, noncompressible and nonpulsatile. Click here for information on linking to our website or using our content or images.

Periapical radiograph showing mixed radiolucency Click here to view. A case report [Ameloblastoma desmoplastico della mandibola: A panoramic radiograph showed an area of radiolucency with a well-defined corticated border, whereas computed tomography revealed a unilocular radiolucent lesion and buccal expansion together with cortical perforation.

Giant neglected desmoplastic ameloblastoma: Therefore, block excision is the most widely used treatment to avoid recurrence. How to cite this article: Pathology of the desmoplastic ameloblastoma. Areas of osseous metaplasia with active osteoblasts were also noted [ Figure 4 ].

Pathology and Genetics of Head and Neck Tumors. The radiographic features of DA also differ from the conventional ameloblastoma. Desmoplastic ameloblastoma in the maxilla: Hypercellularity of spindle-shaped or polygonal cells and microcyst formation is seen focally.


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

Immunohistochemical profiling of ameloblastomas using cytokeratin, vimentin, smooth muscle actin, CD34 and S However, age and sex distribution do not differ from the other types of ameloblastoma. Amelpblastoma ameloblastoma – A review. Open in a separate window. The enucleated sample was firm and had an irregular shape, and its cut surface was solid, whitish, and partially cystic Figure 4.

Report of a unique case and review of literature. Abstract Desmoplastic ameloblastoma is a rare variant of ameloblastoma.

Desmoplastic ameloblastoma

A literature review revealed 34 cases of hybrid ameloblastoma according to database of PubMed Table 1. In this case, disappearance of the lamina dura and the periodontal dewmoplastic space of the adjacent lateral incisor root was clearly identified.

Accurate diagnosis of the desmoplastic variant of ameloblastoma depends on the identification of the typical ameloblastic areas, and this may require examination of more tissue or a repeated biopsy.

Ameloblastoma is a potentially aggressive tumor that requires en bloc resection. Indian J Dent Res.