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Total mandibular reconstruction after resection of rare "honeycomb-like" ameloblastic carcinoma--a case report
Jelena V Jeremic1, Zivorad S Nikolic, Ivan V Boricic
1Clinic for Burns, Plastic and Reconstructive Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
Purpose:
This case report describes a rare and aggressive ameloblastic carcinoma that infiltrated the mandible in a "honeycomb" pattern.
Methods:
A total mandibulectomy with bilateral modified neck dissection was followed by primary reconstruction with a single free vascularised fibula flap.
Results:
The postoperative course was uneventful. The one year follow-up revealed no signs of recurrent tumour or metastases. Nine months later distant metastases occurred in the lung.
Conclusion:
Ameloblastic carcinoma is a highly malignant lesion, which requires aggressive therapy. Prognosis is poor. Further reporting of ameloblastic carcinoma is encouraged.