Atypical CT Findings in Plexiform Ameloblastoma

Area of Science:

• Oral and Maxillofacial Surgery
• Oncology
• Radiology

Background:

• Ameloblastoma is an uncommon, locally aggressive, benign epithelial odontogenic neoplasm.
• It predominantly occurs in the molar-ramus region of the mandible (70% of cases).
• Radiographic features include unilocular or multilocular radiolucency with honeycomb or soap bubble appearance.

Purpose of the Study:

• To present a case of ameloblastoma with unusual computed tomography (CT) findings.
• To highlight the discrepancy between clinical appearance and advanced destructive potential revealed by CT.

Main Methods:

• Case report detailing clinical, radiographic, and CT imaging findings.
• Focus on the interpretation of CT scans to identify lesion characteristics and extent.

Main Results:

• The ameloblastoma presented with radiolucency, consistent with typical presentations.
• Unusual CT findings included significant destruction of surrounding hard and soft tissues.
• This destructive potential was not evident on clinical examination.

Conclusions:

• CT imaging is crucial for fully assessing the extent and aggressive nature of ameloblastoma.
• Unusual CT findings can reveal significant bone and soft tissue destruction not clinically apparent.
• This case underscores the importance of advanced imaging in diagnosing and managing ameloblastoma.