Ameloblastic carcinoma of the mandible: A case report and review of the literature

Abstract

-Aim:The purpose of this paper was to report an additional case of ameloblastic carcinoma of the left hemi-mandible and to review and analyze clinical, radiological and histopathologic features, treatment modalities and prognosis. Presentation of case: A 70 year old malepatient presented to Maxillofacial Department for a painful swelling of the left cheek. An ameloblastic carcinoma of the left hemi-mandible was diagnosed. He underwent radical surgical intervention comprising hemimandibulectomy, supraomohyoid neck dissection, and fibula free-flap reconstruction. Postoperative radiotherapy was employed. Discussion: Ameloblastic carcinoma of the mandible is a rare aggressive tumor with a poor prognosis. It can be seen in different ages. The most common symptom is a rapidly progressing painful swelling. It is defined as a malignant epithelial odontogenic tumor that retains the features of ameloblastic differentiation with cytologic features of malignancy. Non therapeutic consensus is established. However, wide surgical excision with radiotherapy is the most common treatment. Conclusion: Diagnosis of ameloblastic carcinoma at early stage and close periodic screening for metastasis are necessary to improve patient prognosis.

Ameloblastic carcinoma of the mandible: A case report

“…Ameloblastic carcinoma also presents various radiographic manifestations, with findings that may be similar to cysts, benign tumors, or other malignant tumors. 6,9,[21][22][23][24][25] In some cases, the radiographic appearance of ameloblastic carcinoma is very similar to that of ameloblastoma. Radiographically, both lesions can show either unilocular or multilocular radiolucency with tooth-root resorption and tooth displacement.…”

Ameloblastic carcinoma: A rare case with diagnostic dilemma

“…[ 1 ] Differentiating AC from ameloblastoma and malignant ameloblastoma is a challenge due to its overlapping clinical features, histopathology and different management approaches. [ 3 ] In this article, we report a rare case of AC of mandible with clinical and histopathological features that represented a diagnostic challenge.…”

Bilateral ramus mandibulectomy with plate reconstruction in ameloblastic carcinoma patient

“…The best treatment option for ameloblastoma was a radical excision of the tumour mass, reaching the normal bone with a tumour-free margin of 1-2 cm. 10,11 To prevent a recurrence, procedures were added by adjuvant therapeutic. This therapy was performed on the intraoperative bone margin through tissue fixation, drilling, or cauterizing bone tissue.…”

“…The ideal reconstruction would provide a solid arch to articulate the upper jaw that would restore swallowing, speech, mastication, and aesthetics. 11 The mylohyoid muscle and soft tissue were sutured around the plate. The gingivobuccal mucosa was sutured to the mouth floor with watertight and airtight principles.…”