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http://dx.doi.org/10.5624/isd.2013.43.3.201

A repeatedly recurrent desmoplastic ameloblastoma after removal and allobone graft: Radiographic features compared with histological changes  

Kim, Jae-Duk (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University)
Jang, Hyun-Seon (Department of Oral Pathology, School of Dentistry, Chosun University)
Seo, Yo-Seob (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University)
Kim, Jin-Soo (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University)
Publication Information
Imaging Science in Dentistry / v.43, no.3, 2013 , pp. 201-207 More about this Journal
Abstract
A 40-year-old man suffered from a repeatedly recurrent desmoplastic ameloblastoma in the right maxillary anterior and premolar regions. During the first visit, the patient was provisionally histopathologically diagnosed with a developmental cyst, and it was confirmed to be unicystic ameloblastoma and resected. Four years later, the lesion recurred, and was diagnosed as a desmoplastic type of ameloblastoma and removed again. Then, 5 years after the second surgery, the lesion recurred again, and was diagnosed as a type containing a follicular pattern, recurrent ameloblastoma. A panoramic radiograph showed a multilocular and mixed radiolucent/radiopaque expansile lesion at the first visit, a unilocular cystic lesion confined to the premolar area at the second visit, and a small soap bubble appearance in the molar area in the final visit. Cone-beam computed tomographic images of the final recurrence of the tumor revealed multiple small cyst-like structures in the right maxillary anterior and posterior regions.
Keywords
Ameloblastoma; Recurrence; Cone-Beam Computed Tomography; Radiography; Panoramic;
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1 Philipsen HP, Ormiston IW, Reichart PA. The desmo- and osteoplastic ameloblastoma. Histologic variant or clinicopathologic entity? Case reports. Int J Oral Maxillofac Surg 1992; 21: 352-7.   DOI
2 Thompson IO, van Rensburg LJ, Phillips VM. Desmoplastic ameloblastoma: correlative histopathology, radiology and CTMR imaging. J Oral Pathol Med 1996; 25: 405-10.   DOI
3 Bianchi S, Tarello F, Polastri F, Valente G. Ameloblastoma of the mandible involving an autogenous bone graft. J Oral Maxillofac Surg 1998; 56: 1187-91.   DOI
4 Stea G. Recurrence of an ameloblastoma in an autogenous iliac bone graft. J Oral Maxillofac Surg 1985; 43: 374-7.   DOI
5 Wakoh M, Harada T, Inoue T. Follicular/desmoplastic hybrid ameloblastoma with radiographic features of concomitant fibro-osseous and solitary cystic lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 774-80.   DOI
6 Effiom OA, Odukoya O. Desmoplastic ameloblastoma: analysis of 17 Nigerian cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: e27-31.
7 Ashman SG, Corio RL, Eisele DW, Murphy MT. Desmoplastic ameloblastoma. A case report and literature review. Oral Surg Oral Med Oral Pathol 1993; 75: 479-82.   DOI
8 Kawai T, Kishino M, Hiranuma H, Sasai T, Ishida T. A unique case of desmoplastic ameloblastoma of the mandible: report of a case and brief review of the English language literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87: 258-63.   DOI
9 Gardner DG, Heikinheimo K, Shear M, Philipsen HP, Coleman H. Ameloblastomas. In: Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization classification of tumors: pathology and genetics of head and neck tumors. 3rd ed. Lyon: IARC Press; 2005. p.296-300.
10 Keszler A, Paparella ML, Dominguez FV. Desmoplastic and non-desmoplastic ameloblastoma: a comparative clinicopathological analysis. Oral Dis 1996; 2: 228-31.
11 Zachariades N. Recurrences of ameloblastoma in bone grafts. Report of 4 cases. Int J Oral Maxillofac Surg 1988; 17: 316-8.   DOI
12 Gold L, Upton GW, Marx RE. Standardized surgical terminology for the excision of lesions in bone: an argumentum for accuracy in reporting. J Oral Maxillofac Surg 1991; 49: 1214-7.   DOI
13 Philipsen HP, Reichart PA. Unicystic ameloblastoma. A review of 193 cases from the literature. Oral Oncol 1998; 34: 317-25.   DOI
14 Sun ZJ, Wu YR, Cheng N, Zwahlen RA, Zhao YF. Desmoplastic ameloblastoma - A review. Oral Oncol 2009; 45: 752-9.   DOI
15 Huang CM, Chen JY, Chen CH, Huang CJ. Radiotherapy for a repeatedly recurrent ameloblastoma with malignant transformation. Head Neck (in press).
16 Waldron CA, El-mofty SK. A histopathologic study of 116 ameloblastomas with special reference to the desmoplastic variant. Oral Surg Oral Med Oral Pathol 1987; 63: 441-51.   DOI
17 Zemann W, Feichtinger M, Kowatsch E, Karcher H. Extensive ameloblastoma of the jaws: surgical management and immediate reconstruction using microvascular flaps. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 190-6.   DOI
18 Reichart PA, Philipsen HP, Sonner S. Ameloblastoma: biological profile of 3677 cases. Eur J Cancer B Oral Oncol 1995; 31B: 86-99.
19 Kim SG, Jang HS. Ameloblastoma: a clinical, radiographic, and histopathologic analysis of 71 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 649-53.   DOI
20 Kaffe I, Buchner A, Taicher S. Radiologic features of desmoplastic variant of ameloblastoma. Oral Surg Oral Med Oral Pathol 1993; 76: 525-9.   DOI
21 Ng KH, Siar CH. Desmoplastic variant of ameloblastomas in Malaysians. Br J Oral Maxillofac Surg 1993; 31: 299-303.   DOI
22 Takata T, Miyauchi M, Ogawa I, Zhao M, Kudo Y, Sato S, et al. So-called 'hybrid' lesion of desmoplastic and convention-al ameloblastoma: report of a case and review of the literature. Pathol Int 1999; 49: 1014-8.   DOI
23 Philipsen HP, Reichart PA, Takata T. Desmoplastic ameloblastoma (including "hybrid" lesion of ameloblastoma). Biological profile based on 100 cases from the literature and own files. Oral Oncol 2001; 37: 455-60.   DOI
24 Eversole LR, Leider AS, Strub D. Radiographic characteristics of cystogenic ameloblastoma. Oral Surg Oral Med Oral Pathol 1984; 57: 572-7.   DOI
25 Rapidis AD, Andressakis DD, Stavrianos SD, Faratzis G, Arnogiannaki-Liappi N, Lagogiannis GA, et al. Ameloblastomas of the jaws: clinico-pathological review of 11 patients. Eur J Surg Oncol 2004; 30: 998-1002.   DOI
26 White SC, Pharoah MJ. Oral radiology: principles and interpretation. 6th ed. St. Louis: Mosby Elsevier; 2009. p. 373-5.
27 Becelli R, Carboni A, Cerulli G, Perugini M, Iannetti G. Mandibular ameloblastoma: analysis of surgical treatment carried out in 60 patients between 1977 and 1998. J Craniofac Surg 2002; 13: 395-400.   DOI
28 Hertog D, Schulten EA, Leemans CR, Winters HA, Van der Waal I. Management of recurrent ameloblastoma of the jaws: a 40-year single institution experience. Oral Oncol 2011; 47: 145-6.   DOI
29 Siar CH, Lau SH, Ng KH. Ameloblastoma of the jaws: a retrospective analysis of 340 cases in a Malaysian population. J Oral Maxillofac Surg 2012; 70: 608-15.   DOI
30 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.   DOI
31 Mendenhall WM, Werning JW, Fernandes R, Malyapa RS, Mendenhall NP. Ameloblastoma. Am J Clin Oncol 2007; 30: 645-8.   DOI
32 Ladeinde AL, Ogunlewe MO, Bamgbose BO. Ameloblastoma: analysis of 207 cases in a Nigerian teaching hospital. Quintessence Int 2006; 37: 69-74.