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Maxillary ameloblastoma in an 8-year-old child: A case report with a review of the literature

  • Sheela, Sangeetharaj (Division of Oral and Maxillofacial Radiology, Department of Diagnostic Sciences, Rutgers School of Dental Medicine) ;
  • Singer, Steven R. (Division of Oral and Maxillofacial Radiology, Department of Diagnostic Sciences, Rutgers School of Dental Medicine) ;
  • Braidy, Hani F. (Department of Oral and Maxillofacial Surgery, Rutgers School of Dental Medicine) ;
  • Alhatem, Albert (Department of Pathology, Immunology and Laboratory Medicine, Rutgers New Jersey Medical School) ;
  • Creanga, Adriana G. (Division of Oral and Maxillofacial Radiology, Department of Diagnostic Sciences, Rutgers School of Dental Medicine)
  • Received : 2019.02.04
  • Accepted : 2019.07.17
  • Published : 2019.09.30

Abstract

Ameloblastoma is a benign locally invasive tumor with a high tendency to recur. It is considered rare in the pediatric population, with most cases diagnosed in the third to fifth decades of life. Approximately 80% of ameloblastomas occur in the molar and ramus region of the mandible, while 20% of cases occur in the maxillary posterior region. This report presents a case of plexiform ameloblastoma in an uncommon location in an 8-year-old child. The lesion was initially thought to be a dentigerous cyst, based on its location and radiographic appearance. The clinical and radiographic features, histopathology, and treatment of solid, plexiform, maxillary ameloblastoma are reviewed, with an added emphasis on a literature review of ameloblastoma in children. This report emphasize the importance of long-term follow-up, since recurrence may occur many years after initial tumor removal.

Keywords

References

  1. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 3rd ed. St. Louis: Saunders/Elsevier; 2009.
  2. Zhang J, Gu Z, Jiang L, Zhao J, Tian M, Zhou J, et al. Ameloblastoma in children and adolescents. Br J Oral Maxillofac Surg 2010; 48: 549-54. https://doi.org/10.1016/j.bjoms.2009.08.020
  3. Kreppel M, Zoller J. Ameloblastoma - clinical, radiological, and therapeutic findings. Oral Dis 2018; 24: 63-6. https://doi.org/10.1111/odi.12702
  4. Bansal S, Desai RS, Shirsat P, Prasad P, Karjodkar F, Andrade N. The occurrence and pattern of ameloblastoma in children and adolescents: an Indian institutional study of 41 years and review of the literature. Int J Oral Maxillofac Surg 2015; 44: 725-31. https://doi.org/10.1016/j.ijom.2015.01.002
  5. Arotiba GT, Ladeinde AL, Arotiba JT, Ajike SO, Ugboko VI, Ajayi O. Ameloblastoma in Nigerian children and adolescents: a review of 79 cases. J Oral Maxillofac Surg 2005; 63: 747-51. https://doi.org/10.1016/j.joms.2004.04.037
  6. Butt FM, Guthua SW, Awange DA, Dimba EA, Macigo FG. The pattern and occurrence of ameloblastoma in adolescents treated at a university teaching hospital, in Kenya: a 13-year study. J Craniomaxillofac Surg 2012; 40: e39-45. https://doi.org/10.1016/j.jcms.2011.03.011
  7. Giraddi GB, Arora K, Saifi AM. Ameloblastoma: a retrospective analysis of 31 cases. J Oral Biol Craniofac Res 2017; 7: 206-11. https://doi.org/10.1016/j.jobcr.2017.08.007
  8. Kashyap B, Reddy PS, Desai RS. Plexiform ameloblastoma mimicking a periapical lesion: a diagnostic dilemma. J Conserv Dent 2012; 15: 84-6. https://doi.org/10.4103/0972-0707.92614
  9. Singer SR, Mupparapu M, Philipone E. Cone beam computed tomography findings in a case of plexiform ameloblastoma. Quintessence Int 2009; 40: 627-30.
  10. Castro-Silva II, Israel MS, Lima GS, de Queiroz Chaves Lourenco S. Difficulties in the diagnosis of plexiform ameloblastoma. Oral Maxillofac Surg 2012; 16: 115-8. https://doi.org/10.1007/s10006-011-0265-x
  11. Payne SJ, Albert T, Lighthall JG. Management of ameloblastoma in the pediatric population. Oper Tech Otolaryngol Head Neck Surg 2015; 26: 168-74. https://doi.org/10.1016/j.otot.2015.06.012
  12. Takahashi K, Miyauchi K, Sato K. Treatment of ameloblastoma in children. Br J Oral Maxillofac Surg 1998; 36: 453-6. https://doi.org/10.1016/S0266-4356(98)90462-4
  13. Al-Khateeb T, Ababneh KT. Ameloblastoma in young Jordanians: a review of the clinicopathologic features and treatment of 10 cases. J Oral Maxillofac Surg 2003; 61: 13-8. https://doi.org/10.1053/joms.2003.50002
  14. Chukwuneke FN, Anyanechi CE, Akpeh JO, Chukwuka A, Ekwueme OC. Clinical characteristics and presentation of ameloblastomas: an 8-year retrospective study of 240 cases in Eastern Nigeria. Br J Oral Maxillofac Surg 2016; 54: 384-7. https://doi.org/10.1016/j.bjoms.2015.08.264
  15. Huang IY, Lai ST, Chen CH, Chen CM, Wu CW, Shen YH. Surgical management of ameloblastoma in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 478-85. https://doi.org/10.1016/j.tripleo.2007.01.033
  16. Pogrel MA, Montes DM. Is there a role for enucleation in the management of ameloblastoma? Int J Oral Maxillofac. Surg 2009; 38: 807-12. https://doi.org/10.1016/j.ijom.2009.02.018
  17. Iordanidis S, Makos C, Dimitrakopoulos J, Kariki H. Ameloblastoma of the maxilla. Case report. Aust Dent J 1999; 44: 51-5. https://doi.org/10.1111/j.1834-7819.1999.tb00536.x
  18. McClary AC, West RB, McClary AC, Pollack JR, Fischbein NJ, Holsinger CF, et al. Ameloblastoma: a clinical review and trends in management. Eur Arch Otorhinolaryngol 2016; 273: 1649-61. https://doi.org/10.1007/s00405-015-3631-8

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