Chebil Azer, Hasnaoui Mahdi, Bhar Salma, Masmoudi Mohamed, Bellalah Ahlem, Mighri Kalifa
Department of Otorhinolaryngology, Tahar Sfar Teaching Hospital, Mahdia, Tunisia; University of Monastir, Faculty of Medicine of Monastir, Tunisia.
Department of Otorhinolaryngology, Tahar Sfar Teaching Hospital, Mahdia, Tunisia; University of Monastir, Faculty of Medicine of Monastir, Tunisia.
Int J Surg Case Rep. 2022 Sep;98:107457. doi: 10.1016/j.ijscr.2022.107457. Epub 2022 Aug 2.
Diagnosis of odontogenic tumors can be challenging due to their rarity and diverse morphology. The clinical diagnosis could be suspected when it had raised near the tooth. But, when their location is not typical, like inside the paranasal sinuses, the diagnosis is less easy. Maxillary ameloblastomas are rare with only sparse information on their epidemiological, histological and effective management.
A 54-year-old woman presented with ameloblastoma of the left maxillary sinus. Intraoral examination revealed partially edentulous with a 2 cm painless ulceration of the left alveolar process of the maxilla. A biopsy was performed which showed a follicular ameloblastoma. The treatment was surgical. She had a combined endoscopic and transoral resection of the tumor. The patient was diagnosed with recurrence within 3 months from surgery.
although rarely reported, clinicians should still suspect and know how to manage such as rare and locally invasive tumor as a maxillary ameloblastoma.
As odontogenic tumors are rare, some entities are infrequently encountered, making the diagnosis more difficult. Clinicians, oral and maxillofacial surgeons, and oral pathologists should be familiar with the ameloblastoma and its differential diagnosis for accurate diagnosis and management.
牙源性肿瘤由于其罕见性和多样的形态，诊断可能具有挑战性。当肿物在牙齿附近隆起时，临床诊断可能会被怀疑。但是，当它们的位置不典型时，如在鼻窦内，诊断就不那么容易了。上颌成釉细胞瘤很少见，关于其流行病学、组织学和有效治疗的信息很少。
一名54岁女性患有左上颌窦成釉细胞瘤。口腔检查发现部分牙齿缺失，上颌左侧牙槽突有一个2厘米的无痛溃疡。进行了活检，显示为滤泡型成釉细胞瘤。治疗方法为手术。她接受了肿瘤的联合内镜和经口切除术。患者在手术后3个月内被诊断为复发。
尽管报道很少，但临床医生仍应怀疑并知道如何处理上颌成釉细胞瘤这种罕见且局部侵袭性的肿瘤。
由于牙源性肿瘤罕见，一些实体很少遇到，使得诊断更加困难。临床医生、口腔颌面外科医生和口腔病理学家应熟悉成釉细胞瘤及其鉴别诊断，以进行准确的诊断和治疗。
