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Development of Amelogenin-chitosan Hydrogel for In Vitro Enamel Regrowth with a Dense Interface
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Plexiform ameloblastoma: a potential diagnostic challenge.

Michelle Huang1, Grace Bradley1, Bayardo Perez-Ordonez2

  • 1Oral Pathology and Oral Medicine, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
|April 19, 2025
PubMed
Summary
This summary is machine-generated.

This study identifies a rare plexiform ameloblastoma pattern challenging for pathologists. BRAF mutation testing is crucial for accurate diagnosis of this jaw neoplasm.

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Area of Science:

  • Oral pathology
  • Oncology
  • Histopathology

Background:

  • Ameloblastoma is a locally aggressive jaw neoplasm requiring accurate diagnosis.
  • Rare plexiform patterns can mimic less aggressive lesions, complicating diagnosis.
  • Diagnostic challenges arise from plexiform ameloblastomas lacking pathognomonic features.

Purpose of the Study:

  • To review challenging cases of plexiform ameloblastoma.
  • To identify diagnostic features of uncommon ameloblastoma variants.
  • To improve diagnostic accuracy for difficult jaw lesions.

Main Methods:

  • Reviewed 200 ameloblastoma cases from 2004-2024.
  • Analyzed cases with cystic plexiform epithelial proliferation.
  • Correlated histopathology with clinical and radiographic data.

Main Results:

  • Identified a rare subset (4%) with plexiform patterns lacking ameloblast-like cells.
  • Clinical and radiographic features were characteristic of ameloblastoma.
  • BRAF p.V600E mutation was positive in 7 of 8 cases, aiding diagnosis.

Conclusions:

  • Highlights an uncommon, challenging ameloblastoma histologic pattern.
  • Emphasizes the need for integrated diagnostic approaches.
  • Recommends combining clinical, radiographic, histologic, and molecular data for diagnosis.