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Peripheral ameloblastoma: a case report.

Mairéad I Hayes1, Sharon E Prince

  • 1Oral and Maxillofacial Surgery, Norfolk and Norwich University Hospital, Colney Lane, Colney, Norwich, Norfolk, UK.

Dental Update
|January 11, 2007
PubMed
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Peripheral ameloblastoma, a rare soft tissue variant of central ameloblastoma, can mimic an epulis. This case highlights its histological diagnosis and successful surgical management, emphasizing the need for vigilant follow-up.

Area of Science:

  • Oral Pathology
  • Odontogenic Tumors

Background:

  • Peripheral ameloblastoma is an uncommon variant of central ameloblastoma.
  • It typically presents as a gingival soft tissue mass in tooth-bearing jaw areas.
  • Often misdiagnosed clinically as an epulis.

Observation:

  • A 43-year-old male presented with a three-year history of a painful, slowly enlarging gingival swelling.
  • Radiographs showed no evidence of bone involvement.
  • Histological examination confirmed peripheral ameloblastoma.

Findings:

  • Peripheral ameloblastoma was diagnosed histologically despite initial radiographic findings.
  • Treatment involved wide local excision with a bony margin and primary closure.

Implications:

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  • Early and accurate diagnosis of peripheral ameloblastoma is crucial.
  • Surgical excision with adequate margins is the recommended treatment.
  • Long-term follow-up is essential due to potential for recurrence and malignant transformation.