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1.
A 3-year-old girl had a large, painless, radiolucent lesion that involved the right side of the mandible. The lesion extended from the canine region to the condyle and coronoid process. A microscopic diagnosis of ameloblastoma was made by the hospital pathologist. Because it is unusual to find an ameloblastoma in a 3-year-old child and because the extensive surgical procedure that would be necessary to remove an ameloblastoma of this size, further consultation was required. As a result, the lesion was diagnosed as an ameloblastic fibroma and a more conservative surgical procedure was performed. Sixteen months after surgery, radiographic evidence showed complete resolution of the bony surgical defect, with no evidence of recurrence. This case once again points out the necessity for exact diagnosis of similar histologic lesions that may require a different approach in treatment.  相似文献   

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A case of ameloblastic fibroma of the mandible in a 7-year-old girl is presented. The case is of interest because of the unusually large size of the lesion. The lesion was treated with conservative surgical enucleation. There has been no evidence of recurrence of the lesion during the 14-mongh postoperative period. The views expressed herein are those of the authors and do not necessarily reflect the view of the United States Air Force or the Department of Defense.  相似文献   

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A six-year-old boy was seen by his dentist for a tumor mass in the left mandibular region. The panograph revealed a multilocular radiotransparent lesion extending from the canine to the left mandibular ascending ramus with well defined borders. After biopsy, the lesion was enucleated via curettage of the bone bed. The lesion was diagnosed as ameloblastic fibroma. After six months, radiographs showed that the surgical defect had filled with new bone.  相似文献   

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A bstract — A rare odontogenic tumour, ameloblastic fibroma, is presented as a case report and briefly discussed.  相似文献   

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Ameloblastic fibroma. Report of a case   总被引:1,自引:0,他引:1  
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The ameloblastic fibroma (AF) is a rare benign mixed odontogenic tumor. It is composed of both epithelial and mesenchymal elements, but lacks of any calcified dental structures. Most of these tumors occur in the mandible and appears preferentially in the posterior portion of the dental arch with molar area predominates over premolar area. It is important to differentiate the lesion from ameloblastoma, since unlike the latter, it does not exhibit a locally invasive growth pattern. It is a well-circumscribed lesion and does not require the radical excision that may be necessary to effect cure with ameloblastoma. The present case report describes a 15-year-old patient with an ameloblastic fibroma in the symphysis of the mandible, a rare reported site. In the beginning of the article an extensive review of the previously published literature on ameloblastic fibroma has been made. In the later part, the diagnosis, differential diagnosis, histology and therapeutic procedures and postoperative follow up of the present case have been described.  相似文献   

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Two cases of ameloblastic fibroma are described. One case was a seven-year-old girl, the other a 13-year-old boy. In both cases the tumour was located in the posterior part of the maxilla. Both neoplasms were associated with failure of tooth eruption, in one case a primary molar, in the other case a permanent molar. Local excision was performed in both cases, with a recurrence observed in one case ten months after surgery.  相似文献   

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Summary. The ameloblastic fibroma is an odontogenic tumour with an unusual presentation. It is considered to have both epithelial and mesenchymal elements, but it läcks any calcifled dental structures. Two new cases are presented. The first of these began as a mandibular tumour whereas the second was discovered by chance. The radiographic finding in each case was a unilocular cystic radiolucency. Treatment consisted of excisional biopsy by enucleation in both patients. Histopathological findings were consistent with ameloblastic fibroma.  相似文献   

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A case of an ameloblastic fibroma in the mandible of a 14-year-old boy with a six-month follow-up is reported. A brief comparison is made between the ameloblastic fibroma and the simple ameloblastoma.  相似文献   

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Four cases of ameloblastic fibroma appearing in the posterior maxilla and the cupsid area of the mandibula are presented. One of the lesions appeared in the wall of a cyst and another was found in connection with a cyst. The treatment is conservative but the tumor needs close follow up for possible recurrence.  相似文献   

15.
This paper reports one case, of an ameloblastic fibro-odontosarcoma (AFOS) affecting the mandible, in a 12-year-old girl. This neoplasm is a rare odontogenic neoplasm. To the authors’ knowledge this is the fifteenth case of AFOS reported in English. The patient's chief complaint was a swelling in the face for 6 months. An incisional biopsy was performed diagnosing the case as an ameloblastic fibroma. After radiography ameloblastic fibro-odontoma was diagnosed. Computed tomography was performed and a stereolithography model made to plan the surgical procedures. A hemimandibulectomy followed by a vascularized fibular flap was then proposed. The surgery was uneventful. Microscopic features diagnosed an AFOS. After 23 months of close follow-up there is no sign of recurrence or metastasis. Dental implants were recently placed in the fibular flap.  相似文献   

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Ameloblastic fibro-odontoma is a benign epithelial odontogenic tumour with odontogenic mesenchyme exhibiting the histologic characteristics of ameloblastic fibroma and complex odontoma. It is usually associated with developing teeth and occurs predominantly in children and adolescents. In many cases, such lesions are found on radiographic evaluation of patients in whom eruption of teeth is delayed. Ameloblastic fibro-odontoma is generally asymptomatic but may cause swelling and discomfort. This report describes an ameloblastic fibro-odontoma in the posterior mandible of a 26-year-old woman and discusses the histogenesis and clinical features of the lesion.  相似文献   

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The clinical case of an unusual ameloblastic fibro-odontoma (AFO) was reported. The patient's clinical chart as well as preoperative and postoperative radiographs and histological findings of a 20-year old man that addressed Dental Clinic at University of L'Aquila were thoroughly reviewed. The patient showed a swelling in the oral cavity and radiographic feature of a radiolucent lesion at left second premolar maxillary site. Histologic examination made diagnosis of AFO. AFO is a rare mixed odontogenic tumor with similarities to the ameloblastic fibroma (AF) and ameloblastic dentinoma. The nature and the relationships between mixed odontogenic tumours and related lesions are still controversial. Moreover is not clear if these lesions are separate pathologies or if they are different development stages of the same pathology.  相似文献   

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