CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(01): 139-143
DOI: 10.4103/1305-7456.175700
Case Report

Extensive ameloblastic fibroma of the mandibula in a female adult patient: A case report with a follow-up of 3 years

Sinan Tozoglu
1   Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Akdeniz University, Antalya, Turkiye
,
Mukerrem Hatipoglu
2   Department of Periodontology, Faculty of Dentistry, Akdeniz University, Antalya, Turkiye
,
Zeliha Aytekin
2   Department of Periodontology, Faculty of Dentistry, Akdeniz University, Antalya, Turkiye
,
Elif Inanc Gurer
3   Department of Medical Pathology, Faculty of Medicine, Akdeniz University, Antalya, Turkiye
› Author Affiliations

ABSTRACT

Ameloblastic fibroma (AF) is rare benign odontogenic tumour which usually occurs in the first two decades of life. It can occur either the mandible or maxilla but it is most frequently found in the posterior region of the mandible. Treatment of AF in usual is a conservative approach, such as enucleation and curettage but the aggressive lesions require a radical approach. A more radical approach should be considered in older patients who have likely high recurrence tendency. This report describes a case of AF in a 38-year-old female patient identified during a routine radiographic exam. Tomographic examination through three-dimensional reconstruction indicated vestibular fenestration of the cortical bone, with involvement of lingual cortical bone as the lession extended to the posterior region. We removed the tumor under local anesthesia. In this case patient has continued to be followed frequently and has been disease-free for 3 years.



Publication History

Publication Date:
23 September 2019 (online)

© 2016. Thieme. All rights reserved.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • REFERENCES

  • 1 Philipsen HP, Reichart PA, Praetorius F. Mixed odontogenic tumours and odontomas. Considerations on interrelationship. Review of the literature and presentation of 134 new cases of odontomas. Oral Oncol 1997; 33: 86-99
  • 2 Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization Classification of Tumours. Pathology and Genetics Head and Neck Tumours. Lyon: IARC Press; 2005
  • 3 Kruse A. On the development of cystic tumors in the mandible. Arch Path Anat 1891; 124: 137-48
  • 4 Cohen DM, Bhattacharyya I. Ameloblastic fibroma, ameloblastic fibro-odontoma, and odontoma. Oral Maxillofac Surg Clin North Am 2004; 16: 375-84
  • 5 Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization Classification of Tumours. Lyon: IARC Press; 2005
  • 6 Praetorius F. Odontogenic tumors. In: Barnes L. editors. Pathology of the Head and Neck. 3rd ed.. New York: Informa Healthcare USA; 2009: 1240-7
  • 7 Reichart PA, Philpsen HP. editors. Odontogenic Tumors and Allied Lesions. London, England: Quintessence; 2004
  • 8 Slootweg PJ. An analysis of the interrelationship of the mixed odontogenic tumors – Ameloblastic fibroma, ameloblastic fibro-odontoma, and the odontomas. Oral Surg Oral Med Oral Pathol 1981; 51: 266-76
  • 9 Cahn LR, Blum T. Ameloblastic odontoma: Case report critically analyzed. J Oral Surg 1952; 10: 169-70
  • 10 Bertoldi C, Lalla M, Pradelli JM, Cortellini P, Lucchi A, Zaffe D. Risk factors and socioeconomic condition effects on periodontal and dental health: A pilot study among adults over fifty years of age. Eur J Dent 2013; 7: 336-46
  • 11 Peter AR, Hans PP. Odontogenic Tumors and Allied Lesions. 1st ed.. Hanover Park, Ill, USA: Quintessence Publishing; 2004
  • 12 Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology. 3rd ed.. Amsterdam, The Netherlands: Elsevier; 2011
  • 13 Kobayashi K, Murakami R, Fujii T, Hirano A. Malignant transformation of ameloblastic fibroma to ameloblastic fibrosarcoma: Case report and review of the literature. J Craniomaxillofac Surg 2005; 33: 352-5
  • 14 Nelson BL, Folk GS. Ameloblastic fibroma. Head Neck Pathol 2009; 3: 51-3
  • 15 Meseli SE, Agrali OB, Peker O, Kuru L. Treatment of lateral periodontal cyst with guided tissue regeneration. Eur J Dent 2014; 8: 419-23
  • 16 Cahn LR, Blum T. Ameloblastic odontoma: Case report critically analyzed (letter). J Oral Surg (Chic) 1952; 10: 169
  • 17 Pitak-Arnnop P, Chaine A, Dhanuthai K, Bertrand JC, Bertolus C. Extensive ameloblastic fibroma in an adolescent patient: A case report with a follow-up of 4 years. Eur J Dent 2009; 3: 224-8
  • 18 Buchner A, Vered M. Ameloblastic fibroma: A stage in the development of a hamartomatous odontoma or a true neoplasm? Critical analysis of 162 previously reported cases plus 10 new cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 116: 598-606
  • 19 Chen Y, Wang JM, Li TJ. Ameloblastic fibroma: A review of published studies with special reference to its nature and biological behavior. Oral Oncol 2007; 43: 960-9
  • 20 Trodahl JN. Ameloblastic fibroma. A survey of cases from the Armed Forces Institute of Pathology. Oral Surg Oral Med Oral Pathol 1972; 33: 547-58
  • 21 Adebayo ET, Ajike SO, Adekeye EO. A review of 318 odontogenic tumors in Kaduna, Nigeria. J Oral Maxillofac Surg 2005; 63: 811-9
  • 22 Vasconcelos BC, Andrade ES, Rocha NS, Morais HH, Carvalho RW. Treatment of large ameloblastic fibroma: A case report. J Oral Sci 2009; 51: 293-6