Multicystic ameloblastoma of fast growing with partial reconstruction

[摘要] Introduction:Ameloblastoma is a benign neoplasm that tends to be locally aggressive, witha high tendency to relapse. It is an odontogenic tumor of epithelial origin;80% of cases occur at the mandibular level, both in branch and at an angle.It usually manifests during the third to fifth decade of life. The clinicalcharacteristics are not determinants for the biological behavior or the prognosisof an ameloblastoma, even in many of the cases in which they are complementedwith radiographs and/or histopathological samples. Objective:To report the surgical management of multicystic ameloblastoma in a radicalway through a wide resection and placement of a reconstruction plate that functionedas a space maintainer, due to its unusual rapid growth. Case presentation:A clinical case of a male patient is described, who presents a tumor lesionin the right mandibular branch, with a clinical appearance of a multicystic,fast growing, follicular ameloblastoma, treated at Hospital Universitario delCaribe in Cartagena, Colombia. Data were provided on its clinical appearance,its rapid evolution, the histopathological findings and the therapeutic managementperformed. Conclusions:Due to its rapid growth, for this particular case, the most feasible optionwas to carry out the total resection of the lesion in order to avoid or reducethe possibility of relapse, followed by reconstruction with an osteosynthesisplate to restore the functionality of the temporomandibular joint and of themandibular bone, without leaving aside the aesthetics of the patient.

[学科分类] 基础医学

[关键词] ameloblastoma;mouth neoplasms;jaw neoplasms;oral surgery.