Imaging Science in Dentistry

  • 제41권1호
  • /
  • Pages.29-33
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  • 2011
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  • 2233-7822(pISSN)
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  • 2233-7830(eISSN)
대한영상치의학회 (Korean Academy of Oral and Maxillofacial Radiology)
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Unicystic ameloblastoma with diverse mural proliferation - a hybrid lesion

  • Mahadesh, Jyothi (Department of Oral and Maxillofacial Pathology, Sri Siddhartha Dental College and Hospital) ;
  • Rayapati, Dilip Kumar (Department of Oral and Maxillofacial Surgery, Dayananda Sagar College of Dental Sciences) ;
  • Maligi, Prathima M. (Department of Oral and Maxillofacial Pathology, Dayananda Sagar College of Dental Sciences) ;
  • Ramachandra, Prashanth (Department of Oral and Maxillofacial Pathology, Dayananda Sagar College of Dental Sciences)
  • 투고 : 2010.09.14
  • 심사 : 2010.10.25
  • 발행 : 2011.03.31
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초록

A 46-year-old man was referred to our hospital for treatment, complaining of swelling on the right mandibular molar region. Radiographic examination revealed a well defined multilocular radiolucent lesion with root resorption of right lower anteriors and molars. Following biopsy, a diagnosis of unicystic ameloblastoma of mural type was made and hemimandibulectomy was performed under general anesthesia. Histopathological examination of the surgical specimen exhibited a unicystic ameloblastoma of luminal, intraluminal, and mural type. Intraluminal proliferation was of plexiform pattern and mural proliferation showed unusual histopathological findings, which revealed follicular, acanthomatous areas coexisted with desmoplastic areas. This mural picture was similar to the so-called 'hybrid lesion of ameloblastoma', whose biological profile is not elicited due to the lack of adequate published reports. Two years follow up till date has not revealed any signs of recurrence.

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참고문헌

  1. Neville BW, Damm DD, Allen CM, Bouquot JE. Odontogenic cysts and tumors. In: Oral and Maxillofacial Pathology. 2nd ed. St. Louis: WB Saunders Co; 2002. p. 610-8.
  2. Philipsen HP, Reichart PA. Unicystic ameloblastoma. A review of 193 cases from the literature. Oral Oncol 1998; 34 : 317-25. https://doi.org/10.1016/S1368-8375(98)00012-8
  3. Robinson L, Martinez MG. Unicystic ameloblastoma: a prognostically distinct entity. Cancer 1977; 40 : 2278-85. https://doi.org/10.1002/1097-0142(197711)40:5<2278::AID-CNCR2820400539>3.0.CO;2-L
  4. Ackermann GL, Altini M, Shear M. The unicystic ameloblastoma: a clinicopathological study of 57 cases. J Oral Pathol 1988; 17 : 541-6. https://doi.org/10.1111/j.1600-0714.1988.tb01331.x
  5. Reichart PA, Philipsen HP. Odontogenic tumors and allied lesions. Hanover Park: Quintessence Publishing Inc; 2004. p. 69-86.
  6. Gardner DG. Some current concepts on the pathology of ameloblastomas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82 : 660-9. https://doi.org/10.1016/S1079-2104(96)80441-0
  7. Eversole LR, Leider AS, Hansen LS. Ameloblastomas with pronounced desmoplasia. J Oral Maxillofac Surg 1984; 42 : 735-40. https://doi.org/10.1016/0278-2391(84)90423-3
  8. Waldron CA, el-Mofty SK. A histopathologic study of 116 ameloblastomas with special reference to the desmoplastic variant. Oral Surg Oral Med Oral Pathol 1987; 63 : 441-51. https://doi.org/10.1016/0030-4220(87)90257-X
  9. Philipsen HP, Reichart PA, Takata T. Desmoplastic ameloblastoma (including "hybrid" lesion of ameloblastoma). Biological profile based on 100 cases from the literature and own files. Oral Oncol 2001; 37 : 455-60. https://doi.org/10.1016/S1368-8375(00)00111-1
  10. Higuchi Y, Nakamura N, Ohishi M, Tashiro H. Unusual ameloblastoma with extensive stromal desmoplasia. J Craniomaxillofac Surg 1991; 19 : 323-7. https://doi.org/10.1016/S1010-5182(05)80341-5
  11. Philipsen HP, Ormiston IW, Reichart PA. The desmo- and osteoplastic ameloblastoma. Histologic variant or clinicopathologic entity? Case reports. Int J Oral Maxillofac Surg 1992; 21 : 352-7. https://doi.org/10.1016/S0901-5027(05)80761-1
  12. Takata T, Miyauchi M, Ogawa I, Zhao M, Kudo Y, Sato S, et al. So-called 'hybrid' lesion of desmoplastic and conventional ameloblastoma: report of a case and review of the literature. Pathol Int 1999; 49 : 1014-8. https://doi.org/10.1046/j.1440-1827.1999.00972.x
  13. 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. https://doi.org/10.4103/0970-9290.35836
  14. Sun ZJ, Wu YR, Cheng N, Zwahlen RA, Zhao YF. Desmoplastic ameloblastoma - A review. Oral Oncol 2009; 45 : 752-9. https://doi.org/10.1016/j.oraloncology.2009.01.016
  15. Wakoh M, Harada T, Inoue T. Follicular/desmoplastic hybrid ameloblastoma with radiographic features of concomitant fibroosseous and solitary cystic lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94 : 774-80. https://doi.org/10.1067/moe.2002.129182
  16. Gardner DG. Plexiform unicystic ameloblastoma: a diagnostic problem in dentigerous cysts. Cancer 1981; 47 : 1358-63. https://doi.org/10.1002/1097-0142(19810315)47:6<1358::AID-CNCR2820470620>3.0.CO;2-D
  17. Hirota M, Aoki S, Kawabe R, Fujita K. Desmoplastic ameloblastoma featuring basal cell ameloblastoma: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99 : 160-4. https://doi.org/10.1016/j.tripleo.2004.05.020
  18. Leider AS, Eversole LR, Barkin ME. Cystic ameloblastoma. A clinicopathologic analysis. Oral Surg Oral Med Oral Pathol 1985; 60 : 624-30. https://doi.org/10.1016/0030-4220(85)90366-4
  19. Ngwenya SP, Raubenheimer EJ, Noffke CE. Internal morphology of ameloblastomas: a study of 24 resected specimens. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108 : 754-62. https://doi.org/10.1016/j.tripleo.2009.06.026

피인용 문헌

  1. Unicystic Ameloblastoma with Mural Proliferation Managed by Conservative Treatment vol.2016, pp.None, 2016, https://doi.org/10.1155/2016/3089540
  2. Solitary Plasmacytoma in the Mandible Resembling an Odontogenic Cyst/Tumor vol.2016, pp.None, 2011, https://doi.org/10.1155/2016/3629047
  3. Ameloblastoma desmoplásico con predominio quístico: Presentación de un caso clínico vol.38, pp.3, 2016, https://doi.org/10.1016/j.maxilo.2014.03.005