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[Pediatric mandibular ameloblastic fibro-odontoma].
A Zehani1, N Kourda, A Landolsi
1Service d'anatomie pathologique, hôpital Charles-Nicolle, Tunis, Tunisia. alia.zehanikassar@yahoo.fr
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|April 16, 2011
Summary
A rare, voluminous ameloblastic fibro-odontoma (AFO) in a child
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Oncology
Background:
- Ameloblastic fibro-odontoma (AFO) is a rare mixed odontogenic tumor, accounting for 2% of all odontogenic tumors.
- While generally non-aggressive, AFO carries a risk of recurrence and malignant transformation.
- This case highlights a voluminous AFO in a pediatric patient.
Observation:
- A 7-year-old boy presented with significant right mandibular and facial swelling.
- Radiographic and CT imaging revealed a large, 10 cm unilocular radiolucent lesion in the mandible, involving the ramus and angle, with an impacted tooth.
- The lesion was surgically treated via enucleation and curettage.
Findings:
- The surgical intervention for the voluminous AFO in the child yielded a positive outcome.
- No recurrence of the ameloblastic fibro-odontoma was observed at the ten-month follow-up.
- This case is exceptional due to the patient's young age and the tumor's large size.
Implications:
- Complete surgical removal of ameloblastic fibro-odontoma is crucial for preventing recurrence.
- Early diagnosis through radio-clinical data and histological confirmation is vital.
- This case underscores the importance of vigilant management of odontogenic tumors in children.
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