A repeatedly recurrent desmoplastic ameloblastoma after removal and allobone graft: Radiographic features compared with histological changes.
10.5624/isd.2013.43.3.201
- Author:
Jae Duk KIM
1
;
Hyun Seon JANG
;
Yo Seob SEO
;
Jin Soo KIM
Author Information
1. Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University, Gwangju, Korea. hidds@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Ameloblastoma;
Recurrence;
Cone-Beam Computed Tomography;
Radiography, Panoramic
- MeSH:
Adult;
Ameloblastoma;
Bicuspid;
Cone-Beam Computed Tomography;
Humans;
Molar;
Radiography, Panoramic;
Recurrence;
Soaps
- From:Imaging Science in Dentistry
2013;43(3):201-207
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 40-year-old man suffered from a repeatedly recurrent desmoplastic ameloblastoma in the right maxillary anterior and premolar regions. During the first visit, the patient was provisionally histopathologically diagnosed with a developmental cyst, and it was confirmed to be unicystic ameloblastoma and resected. Four years later, the lesion recurred, and was diagnosed as a desmoplastic type of ameloblastoma and removed again. Then, 5 years after the second surgery, the lesion recurred again, and was diagnosed as a type containing a follicular pattern, recurrent ameloblastoma. A panoramic radiograph showed a multilocular and mixed radiolucent/radiopaque expansile lesion at the first visit, a unilocular cystic lesion confined to the premolar area at the second visit, and a small soap bubble appearance in the molar area in the final visit. Cone-beam computed tomographic images of the final recurrence of the tumor revealed multiple small cyst-like structures in the right maxillary anterior and posterior regions.