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Desmoplastic Ameloblastoma Case Study

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DA is an infrequent and rare tumor. According to an English literature review carried out by Sun et al. (5) in 2009, 115 cases were reported. It is a tumor with specific clinical, radiographic, and histological features. It is characterized histologically by marked stromal desmoplasia.[8] The common age of presentation is from the third to the fifth decades, It is more commonly found in males than females[10] in our case the patient was a 26 year old female., in Demographically it is seen that the highest incidence of this tumor is in patients of the Japanese race.[10] The most of desmoplastic ameloblastomas tumors occur in the mandible, commonly in the anterior part.[10], in contrast,to the solid/multicystic variety which is common in the posterior part of mandible. Clinically, maxillary lesions are more dangerous than mandibular ones as the thin maxillary bone is a weak natural barrier for tumors as compared to the thick mandibular …show more content…

MRI is essential for establishing the exact extent of an advanced maxillary Ameloblastoma. On histopathology, desmoplastic Ameloblastoma reveals small areas and thin cords of odontogenic epithelium distributed between dense, fibrous connective tissue.[7] Regions of mature lamellar bone may be seen and invasion may be also be seen.[7 This histological finding indicates the potential for local invasion and also is the reason for the diffuse appearance on radiographs. Desmoplastic Ameloblastoma is so considered more aggressive than other common variants of Ameloblastoma.[7] As it is difficult to find the exact interface between the lesion and normal bone, it is difficult to cure these tumors surgically.[12] Since desmoplastic ameloblastomas tend to infiltrate between bone trabeculae, curettage often leaves islands of tumor within the bone, which eventually leads to recurrences. Therefore, block excision is the most widely accepted form of

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