Ameloblastic fibroma in a young adult

Kumar, R Mahesh; Bavle, Radhika M; Srinath, N.; Umashankar, D N

doi:10.4103/jomfp.jomfp_37_16

Cited by 5 publications

(5 citation statements)

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“…First, an "orthopantomogram showed a huge radiolucent lesion involving the body of the mandible from distal to 45 to the ramus of the mandible." 11 This lesion is much larger than that of the one observed in the subject of this paper. This could be a product of the lesion having more time to progress as the patient is several years older than this paper's study patient.…”

Section: Case Descriptionmentioning

confidence: 47%

“…In one similar report, a 15-year-old female patient presents with swelling in the posterior mandible, which somewhat mirrors the chief complaint of the patient in this particular case. 11 Histopathologically, the case also shows similarities because the lesion was found to contain "highly cellularized connective tissue stroma comprising odontogenic epithelium arranged in the form of strands, chords, and follicles of varying shape and size." 11 The patient was also treated by direct curettage under general anesthesia.…”

Section: Case Descriptionmentioning

confidence: 94%

“…11 Histopathologically, the case also shows similarities because the lesion was found to contain "highly cellularized connective tissue stroma comprising odontogenic epithelium arranged in the form of strands, chords, and follicles of varying shape and size." 11 The patient was also treated by direct curettage under general anesthesia. However, several distinguishing characteristics were described in the case report that set it apart from the case in this paper.…”

Section: Case Descriptionmentioning

confidence: 94%

“…Furthermore, the case report notes that "46, 47, 48 were not clinically seen" and "serous discharge from a small opening distal to 45" was observed. 11 These differences could also be attributed to the age disparity between the two patients, due to both the age of onset and any effects the respective lesions would have on the natural schedule of the mandible's growth and development.…”

Section: Case Descriptionmentioning

confidence: 99%

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Pediatric Ameloblastic Fibroma: A Case Report

Whitson¹,

Kim²,

Youngblood³

et al. 2020

The Journal of Contemporary Dental Practice

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Aim: To highlight the potential difficulties in diagnosing neoplastic lesion of the head and neck in children within autism spectrum. Background: Ameloblastic fibromas are a variation of odontogenic tumors that are located in the posterior mandible in 70% of cases. The tumors may be either unilocular or multilocular when observed radiographically. Ameloblastic fibromas tend to have well-defined, scalloped margins radiographically but may also be corticated. In close to 75% of all cases, an impacted tooth is associated with the lesion. Although not confined to patients who are in their first or second decades of life, ameloblastic fibromas most often arise in this population. Case description: A 9-year-old male diagnosed with autism presented with tenderness in the left mandible. The parents were able to elucidate the child's problem as tingling rather than pain. The patient was referred for histopathological diagnosis and treatment. After evaluation and biopsy, the lesion was identified as a pediatric ameloblastic fibroma. He subsequently underwent the conservative approach of marsupialization and curettage without complication. Six-month follow-up revealed no evidence of recurrence and normal eruption patterns of the succedaneous teeth in the affected area. Conclusion:In this specific case, the conservative approach to treatment appears to have been appropriate. This may not be the appropriate course for every case; as such, each case will have an individualized approach. Earlier recognition with careful inspection can reduce potential complications. Clinical significance: We might be missing early diagnosis of ameloblastic fibroma and other significant orofacial neoplasms in patients who are nonverbal or nondescriptive such as those with autism. Moreover, careful inspection of radiographic and clinical signs cannot be overemphasized.

show abstract

Section: Case Descriptionmentioning

confidence: 47%

Section: Case Descriptionmentioning

confidence: 94%

Section: Case Descriptionmentioning

confidence: 94%

Section: Case Descriptionmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Ameloblastic Fibroma: A Case Report

Whitson¹,

Kim²,

Youngblood³

et al. 2020

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

show abstract

“…Histological examination will usually confirm the diagnosis. Ameloblastic fibroma requires a long-term follow-up due to its chances of recurrence or its transformation into ameloblastic fibrosarcoma, but there is varied rate of recurrence by different authors and mostly attributed to incomplete primary removal 15 . Also, ameloblastic fibroma exhibits a more indolent clinical course than ameloblastoma and does not tend to infiltrate among trabeculae of bone.…”

Section: Discussionmentioning

confidence: 99%