Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Successful Conservative Surgical Treatment of Ameloblastic Fibroma in the Posterior Maxilla : A Case Report

상악 구치부에 발생한 법랑모세포섬유종의 성공적인 보존적 수술 : 증례 보고

  • Lee, Youngeun (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University) ;
  • Ahn, Hyojung (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University) ;
  • Lee, Sooeon (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University) ;
  • Kim, Euncheol (Department of Maxillofacial Tissue Regeneration, School of Dentistry and Research Center for Tooth and Periodontal Tissue Regeneration, School of Dentistry, Kyung Hee University) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of dentistry, Kyung Hee University)
  • 이영은 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 안효정 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 이수언 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김은철 (경희대학교 치의학전문대학원 조직학교실) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실)
  • Received : 2013.05.23
  • Accepted : 2013.09.12
  • Published : 2013.11.29
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Abstract

Ameloblastic fibroma (AF) is a rare odontogenic ectomesenchymal tumor that is frequently seen in the first two decades of life, and occurs in the mandible. The most proper management of AF has been a recent topic of debate because of its recurrence and malignant transformation. This report describes AF in a 4-year-old male, which was a unilocular radiolucency on the maxillary right primary molar area with a scalloped border and corticated margin. The tumor was treated conservatively with enucleation and curettage, and the decision was made to preserve the right primary second molar. A biopsy confirmed it as AF. During the 43 months of follow-up, the patient had no evidence of recurrence or malignant transformation. Moreover, the radiographic examination revealed the generation of tooth germ to be a permanent second premolar. This report shows a case of AF in the posterior maxilla of a 4-year-old boy and discusses the conservative therapeutic approach to this tumor. Therefore, the age of the patients should be an important consideration when choosing conservative or radical surgery in a young AF patient.

법랑모세포섬유종은 드물게 나타나는 진성 혼합 치성 종양으로 10~20대의 어린 환자의 하악에서 호발하는 경향을 보인다. 법랑모세포섬유종의 치료는 종양부위의 제거를 원칙으로 하고 있다. 종양부의 제거는 보존적 방법과 광범위한 제거를 선택할 수 있으나 이는 아직 논쟁이 되는 사항이며 저자에 따라 주장하는 바가 다르다. 이는 법랑모세포섬유종의 재발률과 악성으로의 전이 가능성 때문이다. 본 증례는 상악 우측 유구치의 미맹출을 주소로 내원한 4세 환아에서 발생한 법랑모세포섬유종에 대하여 묘사하고 있다. 법랑모세포섬유종을 적출술과 소파술을 이용하여 성공적으로 치료 하였기에 이에 대한 문헌고찰 및 증례를 보고하고자 한다.

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References

  1. Costa DO, Alves AT, Lourenco Sde Q et al. : Maxillary ameloblastic fibroma: a case report. Braz Dent J, 22:171-174, 2011. https://doi.org/10.1590/S0103-64402011000200015
  2. Takeda Y : Ameloblastic fibroma and related lesions: current pathologic concept. Oral Oncol, 35:535-40, 1999. https://doi.org/10.1016/S1368-8375(99)00039-1
  3. Chen Y, Wang JM, Li TJ : Ameloblastic fibroma: A review of published studies with special reference to its nature and biological behavior. Oral Oncol, 43:960-9, 2007. https://doi.org/10.1016/j.oraloncology.2007.05.009
  4. Neville BW, Damm DD, Allen CM, Bouquot JE : Oral and Maxillofacial Pathology. 3rd ed., Saunders, St. Louis, 719-720, 2002.
  5. Mosby EL, Russell D, Barker BF et al. : Ameloblastic fibroma in a 7-week-old infant : A case report and review of the literature. J oral Maxillofac Surg, 56:368-372, 1998. https://doi.org/10.1016/S0278-2391(98)90118-5
  6. Reichart PA, Zobl H : Transformation of ameloblastic fibroma to fibrosarcoma. Report of a case. Int J Oral Surg, 7:403-7, 1978.
  7. Takeda Y, Kaneko R, Suzuki A : Ameloblastic fibrosarcoma in the maxilla, malignant transformation of ameloblastic fibroma. Virchows Arch A Pathol Anat Histopathol, 404:253-63, 1984. https://doi.org/10.1007/BF00694891
  8. Kousar A, Hosein MM, Ahmed Z, Minhas K : Rapid sarcomatous transformation of an ameloblastic fibroma of the mandible: case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 108:80-5, 2009. https://doi.org/10.1016/j.tripleo.2008.07.031
  9. Cohen DM, Bhattacharyya I : Ameloblastic fibroma, ameloblastic fibro-odontoma, and odontoma. Oral Maxillofac Surg Clin North Am, 16:375-84, 2004. https://doi.org/10.1016/j.coms.2004.03.005
  10. Langlais RP, van Rensburg LJ, Nortje CJ et al. : Magnetic resonance imaging in dentistry. Dent Clin North Am, 44:411-26, 2000.
  11. Hisatomi M, Asaumi J, Kishi K et al. : MR imaging of epithelial cysts of the oral and maxillofacial region. Eur J Radiol, 48:178-82, 2003. https://doi.org/10.1016/S0720-048X(02)00218-8
  12. Silverman : Oral Cancer, Fifth Edition - American Cancer Society, Atlas of Clinical Oncology, BC Decker, 60-61, 2003.
  13. Scher RL, Oostingh PE, Levine PA et al. : Role of fine-needle aspiration biopsy in the diagnosis of lesions of the oral cavity, oropharynx and nasopharynx. Cancer, 62:2602-6, 1988. https://doi.org/10.1002/1097-0142(19881215)62:12<2602::AID-CNCR2820621225>3.0.CO;2-9
  14. Zallen RD, Preskar MH, McClary SA : Ameloblastic fibroma. J Oral Maxillofac Surg, 40: 513-517, 1982. https://doi.org/10.1016/0278-2391(82)90014-3
  15. Trodahl JN : Ameloblastic fibroma. A survey of cases from the Armed Forces Institute of Pathology. Oral Surg Oral Med Oral Pathol, 33:547-58, 1972. https://doi.org/10.1016/0030-4220(72)90367-2