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RFO UPF

Print version ISSN 1413-4012

Abstract

MELO, Radamés Bezerra et al. Surgical treatment of conventional solid ameloblastoma: clinical case report. RFO UPF [online]. 2016, vol.21, n.2, pp. 246-250. ISSN 1413-4012.

The conventional ameloblastoma is a benign tumor originating from the odontogenic epithelial tissue found in maxillary bones. It is characterized clinically as a slow-growing tumor, and in most cases, it is asymptomatic or may cause paresthesia, as well as dental displacement, mobility, and resorption. Histologically, the multicystic variant has different patterns, such as follicular, plexiform, and desmoplastic. Due to these histopathological changes, there are several treatment methods, ranging from enucleation and curettage to more aggressive resections. These are much more recommended because of the aggressive and infiltrative potential of lesions. Objective: This paper aims to describe a clinical case of multicystic ameloblastoma treated by marginal mandibular resection. Case report: Female patient, 40 years old, diagnosed with ameloblastoma by routine panoramic radiograph. The incisional biopsy provided a diagnosis of multicystic ameloblastoma in the body region, angle to the left mandibular ramus. The treatment of choice was, as in most cases reported in the literature, surgical resection. Final considerations: This treatment option is more justified by the high rate of recurrence of lesions treated more conservatively. In the present study, the patient was kept under proservation for 30 months and no signs of recurrence of the lesion or postoperative complications were observed.

Keywords : Ameloblastoma.; Odontogenic tumors.; Therapeutics.; Maxillomandibular tumors..

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