Conservative management of large unicystic ameloblastoma in a young patient: A case report
large unicystic ameloblastoma
Abstract
Objectives: Ameloblastoma is a benign neoplasm with origin from odontogenic epithelium. Unicystic ameloblastoma has clinical and radiographically features resemble to other odontogenic cysts but it has a typical ameloblastomatous epithelium lining the cyst cavity. Case: In this case report study, we presented a 9-year-old girl who was referred to Oral and Maxillofacial Surgery of Isfahan Dental School for the management of a large swelling on the right posterior mandiblular region. The histopathologic examination of the specimen showed mural type of unicystic ameloblastoma. In the first step, the patient was treated by decompression of the lesion. Five month after it, shrinkage of the lesion was observed and in the second stage of surgery, curettage of the remaining lesion and extraction of tooth buds in the areas of lesion was performed. After two years, radiographic image showed new bone formation and complete healing of the lesion. Conclusion: Choosing the best treatment for children with unicystic ameloblastoma requires more attention and all clinical and histopathological parameters should be considered. Conservative treatment for ameloblastoma leads to reduce complications after treatment and affect the patient’s quality of life.
1.Sasaki R, Watanabe Y, Ando T, Akizuki T. Two stage enucleation and deflation of a large unicystic ameloblastoma with mural invasion in mandible. Craniomaxillofac Trauma Reconstruction 2014; 7: 139–42.
2.Robinson L, Martinez MG. Unicystic ameloblastoma: a prognostically distinct entity. Cancer 1977; 40: 2278-85.
3.Bajpai M, Agarwal D, Bhalla A, Kumar M, Garg R, Kumar M. Multilocular unicystic ameloblastoma of mandible. Case Rep Dent 2013; 2013: 835892.
4.Sineedi FA, Aruveetil YA, Kavarodi AM, Harbi SO. Bilocular unicystic ameloblastoma of the mandible in a 9 year old child – A diagnostic and management dilemma. Saudi Dent J 2018; 30: 250–5.
5.Mahajan AD, Manjunatha, BS, Khurana NM, Shah N. Unicystic ameloblastoma arising from a residual cyst. BMJ Case Reports 2014; 2014: bcr2014205157.
6.Nowair IM, Eid MK. A modified surgical approach for the treatment of mandibular unicystic ameloblastoma in young patients. J Cranio-Maxillofacial Surg 2020; 48 (2): 148-55.
7.Kalaskar R, Unawane AS, Kalaskar AR, Pandilwar P. Conservative management of unicystic ameloblastoma in a young child: Report of two cases. Contemp Clin Dent 2011; 2(4): 359–63.
8.Agani Z, Hamiti-Krasniqi V, Recica J, Loxha MP, Kurshumliu F, Rexhepi A. Maxillary unicystic ameloblastoma: a case report. BMC Res Notes 2016; 9: 469.
9.Navarro CM, Principi SM, Massucato EM, Sposto MR. Maxillary unicystic ameloblastoma. Dentomaxillofac Radiol 2004; 331: 60–2.
10.Chaudhary Z, Sangwan V, Pal US, Sharma P. Unicystic ameloblastoma: A diagnostic dilemma. Natl J Maxillofac Surg. 2011; 2(1): 89-92.
11.Ackermann GL, Altini M, Shear M. The unicystic ameloblastoma: a clinicopathological study of 57 cases. J Oral Pathol 1988; 17(9–10): 541–6.
12.Gupta N, Saxena S, Rathod VC, Aggarwal P. Unicystic ameloblastoma of the mandible. J Oral Maxillo Pathol 2011; 15: 228-31.
13.Kim J, Nam E, Yoon S. Conservative management (marsupialization) of unicystic ameloblastoma: literature review and a case report. Maxillofac Plast Reconstr Surg 2017; 39, 38.
14.Lau SL, Samman N. Recurrence related to treatment modalities of unicystic ameloblastoma: a systematic review. Int J Oral Maxillofac Surg 2006; 35(8): 681–90.
15.Meshram M, Sagarka L, Dhuvad J, Anchlia S, Vyas S, Shah H. Conservative management of unicystic ameloblastoma in young patients: a prospective single-center trial and review of literature. J Maxillofac Oral Surg 2017; 16(3): 333–41.
16.Rosenstein T, Pogrel MA, Smith RA, Regezi JA. Cystic ameloblastoma—behavior and treatment of 21 cases. J Oral Maxillofac Surg 2001; 59(11): 1311-6.
17.de Paulo LF, Oliveira MT, Rodrigues A´R, Zanetta-Barbosa D. Treatment of an extensive unicystic ameloblastoma in a 7-year-old child: the best approach? Br J Oral Maxillofac Surg 2015; 53(3): 292–4.
18.Ahmed W. Conservative treatment of unicystic ameloblastoma. Egypt J Oral Maxillofacial Surg 2020; 11: 8-14.
19.Andrade NN, Shetye SP, Mhatre TS. Trends in pediatric ameloblastoma and its management: a 15 year Indian experience. J Maxillofac Oral Surg 2013; 12 (1), 60–7.
20.Awadalkreem F, Abdoun O. Enucleation and surgical stent as a treatment strategy for a large unicystic ameloblastoma: Case report and review of literature. Int J Surg Case Rep 2020; 77: 371-7.
21.Hresko A, Burtyn O, Pavlovskiy L, Snisarevskyi P, Lapshyna J, Chepurnyi Y, et al. Controversies in ameloblastoma management: evaluation of decision making, based on a retrospective analysis. Med Oral Patol Oral Cir Bucal 2021; 26(2): e181-e186.
22.Matsuda SH, Yoshimura H, Yoshida H, Imamura Y, Ueno T, Sano K. Three-dimensional volumetric analysis of unicystic ameloblastoma before and after marsupialization using OsiriX Software. J Hard Tissue Biol 2019: 28(2): 233-6.
2.Robinson L, Martinez MG. Unicystic ameloblastoma: a prognostically distinct entity. Cancer 1977; 40: 2278-85.
3.Bajpai M, Agarwal D, Bhalla A, Kumar M, Garg R, Kumar M. Multilocular unicystic ameloblastoma of mandible. Case Rep Dent 2013; 2013: 835892.
4.Sineedi FA, Aruveetil YA, Kavarodi AM, Harbi SO. Bilocular unicystic ameloblastoma of the mandible in a 9 year old child – A diagnostic and management dilemma. Saudi Dent J 2018; 30: 250–5.
5.Mahajan AD, Manjunatha, BS, Khurana NM, Shah N. Unicystic ameloblastoma arising from a residual cyst. BMJ Case Reports 2014; 2014: bcr2014205157.
6.Nowair IM, Eid MK. A modified surgical approach for the treatment of mandibular unicystic ameloblastoma in young patients. J Cranio-Maxillofacial Surg 2020; 48 (2): 148-55.
7.Kalaskar R, Unawane AS, Kalaskar AR, Pandilwar P. Conservative management of unicystic ameloblastoma in a young child: Report of two cases. Contemp Clin Dent 2011; 2(4): 359–63.
8.Agani Z, Hamiti-Krasniqi V, Recica J, Loxha MP, Kurshumliu F, Rexhepi A. Maxillary unicystic ameloblastoma: a case report. BMC Res Notes 2016; 9: 469.
9.Navarro CM, Principi SM, Massucato EM, Sposto MR. Maxillary unicystic ameloblastoma. Dentomaxillofac Radiol 2004; 331: 60–2.
10.Chaudhary Z, Sangwan V, Pal US, Sharma P. Unicystic ameloblastoma: A diagnostic dilemma. Natl J Maxillofac Surg. 2011; 2(1): 89-92.
11.Ackermann GL, Altini M, Shear M. The unicystic ameloblastoma: a clinicopathological study of 57 cases. J Oral Pathol 1988; 17(9–10): 541–6.
12.Gupta N, Saxena S, Rathod VC, Aggarwal P. Unicystic ameloblastoma of the mandible. J Oral Maxillo Pathol 2011; 15: 228-31.
13.Kim J, Nam E, Yoon S. Conservative management (marsupialization) of unicystic ameloblastoma: literature review and a case report. Maxillofac Plast Reconstr Surg 2017; 39, 38.
14.Lau SL, Samman N. Recurrence related to treatment modalities of unicystic ameloblastoma: a systematic review. Int J Oral Maxillofac Surg 2006; 35(8): 681–90.
15.Meshram M, Sagarka L, Dhuvad J, Anchlia S, Vyas S, Shah H. Conservative management of unicystic ameloblastoma in young patients: a prospective single-center trial and review of literature. J Maxillofac Oral Surg 2017; 16(3): 333–41.
16.Rosenstein T, Pogrel MA, Smith RA, Regezi JA. Cystic ameloblastoma—behavior and treatment of 21 cases. J Oral Maxillofac Surg 2001; 59(11): 1311-6.
17.de Paulo LF, Oliveira MT, Rodrigues A´R, Zanetta-Barbosa D. Treatment of an extensive unicystic ameloblastoma in a 7-year-old child: the best approach? Br J Oral Maxillofac Surg 2015; 53(3): 292–4.
18.Ahmed W. Conservative treatment of unicystic ameloblastoma. Egypt J Oral Maxillofacial Surg 2020; 11: 8-14.
19.Andrade NN, Shetye SP, Mhatre TS. Trends in pediatric ameloblastoma and its management: a 15 year Indian experience. J Maxillofac Oral Surg 2013; 12 (1), 60–7.
20.Awadalkreem F, Abdoun O. Enucleation and surgical stent as a treatment strategy for a large unicystic ameloblastoma: Case report and review of literature. Int J Surg Case Rep 2020; 77: 371-7.
21.Hresko A, Burtyn O, Pavlovskiy L, Snisarevskyi P, Lapshyna J, Chepurnyi Y, et al. Controversies in ameloblastoma management: evaluation of decision making, based on a retrospective analysis. Med Oral Patol Oral Cir Bucal 2021; 26(2): e181-e186.
22.Matsuda SH, Yoshimura H, Yoshida H, Imamura Y, Ueno T, Sano K. Three-dimensional volumetric analysis of unicystic ameloblastoma before and after marsupialization using OsiriX Software. J Hard Tissue Biol 2019: 28(2): 233-6.
| Files | ||
| Issue | Vol 9, No 2 (Spring 2022) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jcr.v9i2.11742 | |
| Keywords | ||
| Ameloblastoma Jaw Pathology | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Haghighat A, Razavi SM, Khalesi S. Conservative management of large unicystic ameloblastoma in a young patient: A case report. J Craniomaxillofac Res. 2022;9(2):100-105.
