Reviewing the unicystic ameloblastoma: report of two cases

Article Abstract:

Ameloblastomas are aggressive tumors of the jaw and account for approximately 1 percent of the tumors that occur in the maxillofacial region. Ameloblasts are cells that normally manufacture the material that becomes tooth enamel; tumors involving these cells have been classified into several forms. Two case reports are presented to illustrate the unicystic ameloblastoma and its treatment. The patients complained of pain or swelling in the lower jaw; cysts were discovered and surgically removed in each case. The cysts were lined with ameloblastic tissue (containing ameloblasts). One patient required two procedures, since part of the tumor remained after the first surgery. The patients did well and will be followed-up regularly for years to come. Ameloblastomas occur at an average age of 30. They grow slowly, usually in the lower jaw. The unicystic form does not commonly recur and may be treated more conservatively than other variants. Additional details regarding the histopathology of ameloblastomas are presented. (Consumer Summary produced by Reliance Medical Information, Inc.)

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Maxillary ameloblastoma: report of an unusual case

Article Abstract:

A case study is presented of a 14-year-old female with an ameloblastoma (a jaw tumor made up of the cells that form the enamel of the teeth) in the rear portion of her upper jaw (maxilla). The tumor was discovered when the patient underwent X-ray examination prior to removal of her first four premolars. These, and impacted third molars, were removed. When evaluation of a biopsy sample yielded a diagnosis of ameloblastoma, the area was removed. The patient will be followed-up carefully. Ameloblastoma is uncommon and is usually diagnosed in the fourth decade of life. Few of these tumors occur in the upper jaw. Debate exists over the best treatment, but aggressive approaches seem best when the tumor is located in this region. Resection is preferred to curettage (scraping). Suspicious regions should always be referred for biopsy. (Consumer Summary produced by Reliance Medical Information, Inc.)

Maxilla

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Aggressive ameloblastoma treated with radiotherapy, surgical ablation and reconstruction

Article Abstract:

Ameloblastomas are rare, benign oral tumors. The multiple treatments of a patient over 23 years illustrates that ameloblastomas may be locally aggressive and recurrent. In this patient, the growth recurred following surgical removal, and she was then treated with surgery and radiation. The patient developed a draining fistula and fracture of the lower jaw, with extensive atrophy of her face. Using bone and tissue grafts, doctors reconstructed the jaw and soft tissue and immobilized the jaw during healing. Fourteen months after this successful repair, no tumor was evident.

Mouth tumors

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