Follicular Ameloblastoma

7/25/2019 Follicular Ameloblastoma

1/17

Case Report

Case Report on Follicular Ameloblastoma

Garima Bhatt 1 , Dushyantsinh Vala 2 , Prabhpreet Kaur 3, , Ra!at Varshney "

1,2Postgraduate Student, 4Senior Lecturer, Dept. or Oral and Maxillofacial Pathology, Darshan dental College andHospital, Loyara, Udaipur, Ra asthan

3Senior Lecturer, Dept. of Oral and Maxillofacial Pathology,

!.R.S. Dental College and "eneral Hospital, !ar#ala, Panch$ula, Haryana

*Corresponding Author:

%&'ail( drpp$)o*eroi+yahoo.co'

Access this article online

Quick Response

Code ( Website:

###.inno ati epu*lication.co'

D !:

- ./0/12340/&5-06.3 -/. - .7

!"#R D$C#! "

8'elo*lasto'a is a rather rare tu'ouroccurring in the a#s. 9t is first descri*ed *y

:al$son in -170 *ut

Churchill has gi en the ter' ;8'elo*lasto'a< in

-044. -

Odontogenic lesions de elop fro' odontogenicepitheliu'. 8'elo*lasto'a, radicular cyst,dentigerous cyst, $eratocystic odontogenictu'our are the exa'ple of Odontogenicepithelial origin lesions. 8'elo*lasto'a is aneoplas' of odontogenic epitheliu' #hich isslo# gro#ing painless tu'or occurs 'ainly into

'andi*le. 3

=he a'elo*lasto'a is di ided into threeclinicopathological groups. =hese are( solid or

'ulticystic> unicystic> and peripheral?extraosseous@. =he distinction *et#een theseariants of a'elo*lasto'a is i'portantclinically.

Solid and 'ulticystic a'elo*lasto'as are theco''on for' of a'elo*lasto'a #hich 'a$es

up approxi'ately 15A of the lesions. 4

8'elo*lasto'a accounts for approxi'ately- A of all odontogenic tu'ors that occur in the'axilla and 'andi*le ?!ecelli et al., 3 3>


2/17

Be'ann et al., 3 7@. 6 =he tu'our is $no#n for local recurrence, especially if soft tissuein asion or cortical *one perforation has

occurred. / 9t occurs 'ainly in 3 nd to 4 rd decadeof life> the a erage age for occurrence is 4 to

6 years of age. 5

Case %resentation: -7 years old 'ale patient presented in our unit, co'plaining of painlesss#elling in the floor of the 'outh in ol inglo#er first 'olar to 'olar region &'ig( 1) 2 .Patient #as asy'pto'atic *efore - year, he 'etan accident #ith 'otorcycle and de elopedulcer at the 'andi*ular site #hich started

gro#ing rapidly, patient has ta$en anti*ioticco erage and s#elling #as su*sided *ut itde eloped again after 4 'onths of the accident.=he s#elling #as hard, painless to palpationand co ered *y nor'al 'ucosa.

Radiographic + a-ination: 9n this patient,the panora'ic radiograph de'onstrates 14x/3

'' 3 'ultilocular, cystic appearing. =here is

discontinuity of the 'andi*le at the inferior *order. &'ig( 3 (

C# scan Report: Co'puteri ed to'ographysho#ed an expansi e 'ultiloculated *onycystic lesion 'easuring approxi'ately

?14x/3x//@ '' 4 #ith 'ultiple thic$ enhancinginternal separations and calcification is arisingfro' *ody of 'andi*le causing significantthinning of o erlying cortex &'ig( 4 ) . (

/iops0 %rocedure: !iopsy perfor'ed underLocal anesthesia. 9ncision ta$en at the anteriorregion of 'andi*le and large tissue sa'plecollected. ound closed #ith si'ple

interrupted sutures.

istopathological + a-ination:Microscopically in the lo# po#er ie# it sho#sepithelial island #hich loo$s li$e ena'el organ.=all colu'nar cells are present surroundingthese islands and at the high po#er ie# islandare sho#ing toll colu'nar cells #ith the re erse

polarity, #hich are 8'elo*last cells. =his gi es

hint of a diagnosis of :ollicular a'elo*lasto'a.&'ig( ) (

Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology;2015;1(4) 20!"212 20!


3/17

Garima Bhatt et al. Case Report on Follicular Ameloblastoma


4/17

'ig( 1: + tra oral photograph sho ing bon0 hard s elling and 5acial de5or-it0(


5/17

'ig( 2: !ntra oral aspect o5 bon0 hard s elling in6ol6ing the 5loor o5 the -outh 5ro- -olar to -olar region,o6erl0ing -ucosa in nor-al(

Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology;2015;1(4) 20!"212 20#


6/17



7/17


8/17


9/17



10/17

'ig( .

'ig( 4 ) .: C# scan sho ing e pansi6e -ultiloculated bon0 c0stic lesion ith -ultiple thick enhancinginternal separation and calci5ication is arising 5ro- bod0 o5 -andible causing signi5icant thinning o5o6erl0ing corte ( &'rontal ) 7ide %ro5ile


11/17

'ig( : istopathological diagra- sho ing islands o5 epitheliu- that rese-ble ena-el organ in a 5ibrousconnecti6e tissue stro-a attached to the base-ent -e-brane( 48

Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology;2015;1(4) 20!"212 210


12/17



13/17


14/17


15/17


R+'+R+"C+7:

9ordanidis S, Ma$os C, Di'itra$opoulosF andGari$i H. 8'elo*lasto'a of the 'axilla. Case report. 8ustralian Dental Fournal -000>66?-@( /-&//

Ra'esh RS, Man unath S, Ustad =H, Pais S and Shi $u'ar G. Unicystic a'elo*lasto'a of the 'andi*le an unusual case report andre ie# of literature . Head and nec$ oncology 3 - > 3?-@( -&/

Hollo#s P, :asan'ade8 andHayter FP. 8'elo*lasto'a

I a diagnostic pro*le'. !ritish Dental Fournal 3 > -11?/@( 364&66

Oli eira LR, Matos !H, Do 'iniguete PR, Borgetto J8 and Sil a 8R. 9nternational Fournal of Odontosto'atology 3 --> /?4@( 304&00.

Su*udhi S, Dash S, Pre'$anda G, Patha$ H and Poddar RK. 9nternational Fournal of 8d ance'ents in Research =echnology 3 -4>3?3@( -&1.

Kagata G, Shi'i u G, Sato C, Morita H, atana*e and =aga#a =. Hinda#i Pu*lishing Corporation Case Reports in Dentistry 3 -4>-&6.

Malheiro P, :ieo L and Costa H. Re ista de SaNdea'atoLusitano 3 -4> 43(/3&/6.

Rastogi R, Fain H. Case report( Des'oplastic a'elo*lasto'a


16/17


17/17

Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology;2015;1(4) 20!"212 212

Documents

Follicular Ameloblastoma