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Peripheral ameloblastoma of the gingiva
Nagaraja Vezhavendhan1, Santhanam Vidyalakshmi1, Rajakannu Muthukumaran1
1Sri Balaji Vidyapeeth University, Indira Gandhi Institute of Dental Sciences, Department of Oral Pathology and oral Microbiology. Puducherry, Puducherry, India.
Autopsy & Case Reports
|February 11, 2020
Summary
Peripheral Ameloblastoma (PA), a rare benign tumor of the jaw, can recur after initial treatment. This case highlights the importance of vigilant follow-up for peripheral ameloblastoma to manage potential recurrences.
Area of Science:
- Oral Pathology
- Oncology
- Dentistry
Background:
- Peripheral Ameloblastoma (PA) is a rare benign odontogenic neoplasm originating from odontogenic epithelium rests.
- It commonly presents as a lesion in the mandibular gingiva, mimicking other peripheral lesions.
- PA has a significant recurrence rate, necessitating careful monitoring.
Observation:
- A case of recurrent peripheral ameloblastoma in a 72-year-old male is presented.
- The lesion was located in the mandibular lingual gingiva, near teeth 44 and 45.
- The patient had a prior excision of ameloblastoma at the same site six years earlier.
Findings:
- The recurrent lesion presented clinically similarly to other peripheral jaw lesions.
- Histopathological confirmation of ameloblastoma was established for the recurrent lesion.
- The recurrence underscores the infiltrative potential and need for complete excision of PA.
Implications:
- This case emphasizes the critical need for long-term follow-up of peripheral ameloblastoma patients.
- Early detection and management of recurrent PA are crucial to prevent further complications.
- Understanding the behavior of PA is vital for oral surgeons and pathologists.
