Issue |
Med Buccale Chir Buccale
Volume 23, Number 2, Juin 2017
|
|
---|---|---|
Page(s) | 95 - 98 | |
Section | Cas clinique et revue de la littérature / Up-to date review and case report | |
DOI | https://doi.org/10.1051/mbcb/2016062 | |
Published online | 11 September 2017 |
Ameloblastic carcinoma of the mandible: A case report and review of the literature
Department of Plastic, Maxillo-Facial Surgery and Stomatology, Avicenne Military Hospital, Marrakech, Morocco
* Correspondence: badreddineabir21@gmail.com
Received: 31 December 2015
Accepted: 26 September 2016
Aim: The purpose of this paper was to report an additional case of ameloblastic carcinoma of the left hemi-mandible and to review and analyze clinical, radiological and histopathologic features, treatment modalities and prognosis. Presentation of case: A 70 year old malepatient presented to Maxillofacial Department for a painful swelling of the left cheek. An ameloblastic carcinoma of the left hemi-mandible was diagnosed. He underwent radical surgical intervention comprising hemimandibulectomy, supraomohyoid neck dissection, and fibula free-flap reconstruction. Postoperative radiotherapy was employed. Discussion: Ameloblastic carcinoma of the mandible is a rare aggressive tumor with a poor prognosis. It can be seen in different ages. The most common symptom is a rapidly progressing painful swelling. It is defined as a malignant epithelial odontogenic tumor that retains the features of ameloblastic differentiation with cytologic features of malignancy. Non therapeutic consensus is established. However, wide surgical excision with radiotherapy is the most common treatment. Conclusion: Diagnosis of ameloblastic carcinoma at early stage and close periodic screening for metastasis are necessary to improve patient prognosis.
Key words: ameloblastic carcinoma / mandible / surgical treatment
© Les auteurs, 2017
This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted
use, distribution, and reproduction in any medium, provided the original work is
properly cited
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