Sheikh Soheyl, Pallagatti Shambulingappa, Singla Isha, Kalucha Aman
Professor, Department of Oral Medicine and Radiology, M.M. College of Dental Sciences and Research, Mullana, Ambala, Haryana, India.
J Dent Res Dent Clin Dent Prospects. 2011 Winter;5(1):27-32. doi: 10.5681/joddd.2011.006. Epub 2011 Mar 18.
Desmoplastic ameloblastoma is a rare variant of ameloblastoma. Up until now, less than 150 patients have been reported in the literature. We report a case of desmoplastic ameloblastoma in a 45-year-old female with a painless swelling in the left anterior maxillary region. Fine needle aspiration yielded no fluid. Periapical and panoramic radiographs as well as computer tomography scan showed a mixed lesion with multilocular appearance. The present case deserves special importance be-cause of its unfamiliar appearance, potentially aggressive nature and high chances of misdiagnosis. Moreover, the radio-graphic features of this lesion rarely point towards ameloblastoma. A partial maxillectomy for tumor resection was per-formed and the involved teeth were removed. This report is an attempt to help the dental community in developing familiarity with the clinical presentation and at the same time advocating to develop a high index of suspicion in recognizing such cases.
促结缔组织增生性成釉细胞瘤是成釉细胞瘤的一种罕见变异型。截至目前，文献报道的患者不足150例。我们报告一例45岁女性促结缔组织增生性成釉细胞瘤，其左上颌前部区域有无痛性肿胀。细针穿刺未抽出液体。根尖片和全景片以及计算机断层扫描显示为多房性混合性病变。本病例因其不常见的表现、潜在的侵袭性本质及高误诊几率而值得特别关注。此外，该病变的影像学特征很少提示为成釉细胞瘤。实施了部分上颌骨切除术以切除肿瘤，并拔除了受累牙齿。本报告旨在帮助牙科界熟悉其临床表现，同时提倡在识别此类病例时提高警惕性。
