Chehal Asmaa, Lobo Rosabel, Naim Asmaa, Azinovic Ignacio
Centre Régional d'oncologie Al Hoceima, Maroc.
Instituto Madrileño de Oncologia, IM Oncology, Espagne.
Pan Afr Med J. 2017 Mar 24;26:169. doi: 10.11604/pamj.2017.26.169.8992. eCollection 2017.
Ameloblastoma is a benign aggressive odontogenic tumor which requires early diagnosis and appropriate treatment. It commonly affects the mandible and radical surgery is the gold standard treatment. We report the case of a patient with ameloblastoma in extremely advanced phase affecting the maxillary sinus who was treated with intensity modulated conformal radiation therapy. Patient's evolution was marked by complete remission maintained after 24 months follow-up. Maxillary ameloblastoma is not well documented in the literature. It is usually diagnosed at the later stage when optimal surgery cannot be performed. This case study aimed to demonstrate that radiation therapy is a real therapeutic alternative in the treatment of advanced and inoperable forms of ameloblastoma.
成釉细胞瘤是一种具有侵袭性的良性牙源性肿瘤,需要早期诊断和适当治疗。它通常累及下颌骨,根治性手术是标准治疗方法。我们报告了一例处于极晚期累及上颌窦的成釉细胞瘤患者,该患者接受了调强适形放射治疗。患者的病情进展特点是在24个月的随访后保持完全缓解。上颌成釉细胞瘤在文献中的记载并不充分。它通常在无法进行最佳手术的晚期才被诊断出来。本病例研究旨在证明放射治疗是治疗晚期及无法手术切除的成釉细胞瘤的一种切实可行的治疗选择。