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Multi-recurrent invasive ameloblastoma: A surgical challenge
Fatemah Faras1, Fawaz Abo-Alhassan1, Yona Israël1
1Department of Plastic and Maxillo-Facial Surgery, Henri Mondor Hospital, Créteil 94010, France.
International Journal of Surgery Case Reports
|December 1, 2016
Summary
Ameloblastomas, common odontogenic tumors, can be aggressive and recurrent. This case highlights the challenges in managing multi-recurrent ameloblastoma, emphasizing long-term follow-up for effective treatment.
Area of Science:
- Oncology
- Oral and Maxillofacial Surgery
- Pathology
Background:
- Ameloblastomas are the most common odontogenic neoplasms, representing a significant challenge in head and neck oncology.
- These tumors exhibit aggressive behavior and a high propensity for recurrence, even after surgical resection.
Purpose of the Study:
- To present a complex case of a multi-recurrent ameloblastoma with varied histopathological findings.
- To underscore the critical need for vigilant, long-term patient monitoring in managing ameloblastoma.
Main Methods:
- A case study detailing the clinical course of a 56-year-old female with a multi-recurrent invasive ameloblastoma.
- Surgical interventions including mandiblectomy and maxillectomy, alongside histopathological examinations of recurrent lesions.
Main Results:
- The patient experienced multiple recurrences, initially in the mandible and subsequently in the maxilla, with orbital and temporal muscle invasion.
- Histopathology revealed different ameloblastoma subtypes (cystic and follicular) across recurrences, with no malignant transformation observed.
Conclusions:
- Ameloblastoma management requires a tailored approach due to its unpredictable behavior and high recurrence rates.
- Long-term surveillance is paramount for early detection and management of recurrent ameloblastoma, optimizing patient outcomes.
