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CC BY-NC-ND 4.0 · Eur J Dent 2009; 03(03): 224-228
DOI: 10.1055/s-0039-1697436
Editorial
Dental Investigation Society

Extensive Ameloblastic Fibroma in an Adolescent Patient: A Case Report with a Follow-Up of 4 Years

Poramate Pitak-Arnnop
a   PhD candidate and resident, Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Faculty of Medicine, University Hospital of Leipzig,Leipzig, Germany; Formerly, Department of Maxillofacial Surgery, AP-HP, Pitié-Salpêtrière University Hospital, Faculty of Medicine, University Paris 6 (Pierre et MarieCurie), Paris, France.
b   PhD candidate, Laboratory of Medical Ethics and Legal Medicine, Faculty of Medicine, University Paris 5 (René Descartes), Paris, France.
,
André Chaine
c   Consultant surgeon, Department of Maxillofacial Surgery, AP-HP, Pitié-Salpêtrière University Hospital, Faculty of Medicine, University Paris 6 (Pierre et Marie Curie), Paris, France.
,
Kittipong Dhanuthai
d   Associate Professor, Department of Oral Pathology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
,
Jacques-Charles Bertrand
e   Head Professor and Chairman, Department of Maxillofacial Surgery, AP-HP, Pitié-Salpêtrière University Hospital, Faculty of Medicine, University Paris 6 (Pierre et Marie Curie), Paris, France.
,
Chloé Bertolus
f   Assistant Professor, Department of Maxillofacial Surgery, AP-HP, Pitié-Salpêtrière University Hospital, Faculty of Medicine, University Paris 6(Pierre et Marie Curie), Paris, France.
› Author Affiliations
Further Information

Publication History

Publication Date:
27 September 2019 (online)

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ABSTRACT

Ameloblastic fibroma (AF) is a rare odontogenic tumour of the jaw which usually occurs in the first 2 decades of life. The common clinical manifestation is a slow-growing swelling. We report a case of a 16-year-old male patient presenting with extensive AF of the mandible. He underwent a conservative enucleation. The tumour recurred 2 years after the initial surgery, requiring the second enucleation.The patient has continued to be followed closely and has been disease-free for 4 years. Recent evidence suggests that the recurrent rate of AF is relatively high, and malignant transformation of AF may occur after recurrences or multiple surgeries. A conservative treatment approach with close surveillance is recommended. Anatomical limitations should be taken into account, especially when enucleation of AF in the posterior portion of the jaw is performed. Current surgical pathologic issues of the tumour are also discussed. (Eur J Dent 2009;3:224-228)

Key words:

Ameloblastic fibroma - Jaw tumour - Odontogenic tumour
 

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