de Freitas George Borja, de Andrade Evelyne Pedroza, Neves Riedel Frota Sá Nogueira, Dos Santos Stefanny Torres, da Costa Araújo Daniella Cristina, Montalli Victor Ângelo
Department of Oral Pathology, São Leopoldo Mandic Institute and Research Center, Campinas, SP, Brazil.
Department Maxillofacial Surgery, Hospital Getúlio Vargas, Recife, PE, Brazil.
Case Rep Dent. 2018 May 30;2018:6809758. doi: 10.1155/2018/6809758. eCollection 2018.
Unicystic ameloblastoma is an odontogenic tumor that affects mainly young patients and usually involves the posterior region of the mandible. In this article, we report on the case a 12-year-old girl presenting with an 8-month history of facial swelling in her lower right quadrant. Radiographic examination revealed a unilocular radiolucent lesion extending from the body of the mandible through to the angle and ascending ramus. An incisional biopsy was performed, and a diagnosis of luminal unicystic ameloblastoma was made based on clinicopathological features. The lesion was treated in two stages, namely, an initial conservative approach via decompression and subsequent excision. The patient has been followed up for 6 months without clinical and radiographic evidence of recurrence. In conclusion, conservative timely intervention combined with a conservative surgical approach has proven efficacious in the treatment of ameloblastoma in this young patient.
单囊性成釉细胞瘤是一种牙源性肿瘤，主要影响年轻患者，通常累及下颌骨后部区域。在本文中，我们报告了一例12岁女孩的病例，她右下象限面部肿胀已有8个月病史。影像学检查显示一个单房性透光性病变，从下颌骨体延伸至角部和升支。进行了切开活检，并根据临床病理特征诊断为腔内单囊性成釉细胞瘤。该病变分两个阶段进行治疗，即最初通过减压的保守方法和随后的切除。患者已随访6个月，无临床和影像学复发证据。总之，保守的及时干预与保守的手术方法相结合已被证明对该年轻患者的成釉细胞瘤治疗有效。
