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Ameloblastoma, desmoplastic type: a case report with characteristic radiological presentation
Authors:Masao Araki  Naoyuki Matsumoto  Kazuya Honda  Teruhiko Ishii  Hidero Oki  Yoshiyuki Yonehara  Kazuo Komiyama
Affiliation:(1) Department of Oral and Maxillofacial Radiology, Dental Research Center, Nihon University School of Dentistry, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8310, Japan;(2) Department of Pathology, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan;(3) Department of Oral and Maxillofacial Surgery I, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan;(4) Department of Oral and Maxillofacial Surgery II, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan;(5) Division of Advanced Dental Treatment, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan;(6) Division of Immunology and Pathobiology, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan;(7) Division of Systemic Biology and Oncology, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan
Abstract:
Ameloblastoma, desmoplastic type, is a rare lesion for which radiographic images are even less common, and such lesions are sometimes considered to be variant types. It is defined as a variant of ameloblastoma with specific imaging and histological features. This lesion occurs with the same frequency in the maxilla and mandible, although the predominant site is the anterior-premolar site in both the mandible and maxilla. For our case of ameloblastoma, desmoplastic type, resected from the right anterior to premolar maxilla, the radiographic appearance and histopathological findings were compared. Computed tomography images revealed that the lesion had a multilocular structure with many smaller septa at its periphery. Although expansion toward the maxillary sinus was suggested radiologically, invasion of the mucosa into the floor of the maxillary sinus was found on histopathological examination.
Keywords:
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