DOI QR코드

DOI QR Code

Metastatic Pulmonary Ameloblastoma Misdiagnosed as Primary Squamous Cell Carcinoma Preoperatively

  • Yun, Ju Sik (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Kim, Do Wan (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Kim, Sung Sun (Department of Pathology, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Choi, Yoo Duk (Department of Pathology, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Song, Sang Yun (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Na, Kook Joo (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School)
  • Received : 2013.07.23
  • Accepted : 2013.09.03
  • Published : 2014.02.05

Abstract

Ameloblastomas are rare odontogenic epithelial tumors that occur mainly in the mandible. Despite their benign histologic appearance, they are locally aggressive with a high recurrence rate. However, a metastasizing ameloblastoma has been rarely reported. According to the current World Health Organization classification system, the definitive diagnosis of metastasizing ameloblastoma can only be carried out in retrospect, after the event of metastasis. This case report describes a patient with metastatic pulmonary ameloblastoma, 17 years after the surgical excision of an odontogenic tumor, preoperatively misdiagnosed as primary squamous cell carcinoma.

Keywords

References

  1. Papaioannou M, Manika K, Tsaoussis B, Cheva A, Sichletidis L, Kioumis J. Ameloblastoma of the mandible with pulmonary metastases 45 years after initial diagnosis. Respirology 2009;14:1208-11. https://doi.org/10.1111/j.1440-1843.2009.01613.x
  2. Henderson JM, Sonnet JR, Schlesinger C, Ord RA. Pulmonary metastasis of ameloblastoma: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:170-6. https://doi.org/10.1016/S1079-2104(99)70113-7
  3. Dissanayake RK, Jayasooriya PR, Siriwardena DJ, Tilakaratne WM. Review of metastasizing (malignant) ameloblastoma (METAM): pattern of metastasis and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:734-41. https://doi.org/10.1016/j.tripleo.2010.12.018
  4. Sciubba JJ, Eversole LR, Slootweg PJ. Odontogenic/ameloblastic carcinomas. In: Barnes L, Eveson JW, Reichart P, Sidransky D, editors. Pathology and genetics: head and neck tumors. Lyon: IARC Press; 2005. p. 289-91.
  5. Eliasson AH, Moser RJ 3rd, Tenholder MF. Diagnosis and treatment of metastatic ameloblastoma. South Med J 1989;82:1165-8. https://doi.org/10.1097/00007611-198909000-00027
  6. Van Dam SD, Unni KK, Keller EE. Metastasizing (malignant) ameloblastoma: review of a unique histopathologic entity and report of Mayo Clinic experience. J Oral Maxillofac Surg 2010;68:2962-74. https://doi.org/10.1016/j.joms.2010.05.084
  7. Scannell J, Lees B, Hopper C. Can radiofrequency ablation be used as a treatment modality for the management of pulmonary Metastatic ameloblastoma? Radiol Case Rep 2009;4:249. https://doi.org/10.2484/rcr.v4i2.249
  8. Luo DY, Feng CJ, Guo JB. Pulmonary metastases from an Ameloblastoma: case report and review of the literature. J Craniomaxillofac Surg 2012;40:e470-4. https://doi.org/10.1016/j.jcms.2012.03.006