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Cancerization of Ameloblastoma in Free Fibula Neomandible

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Background

Ameloblastic carcinoma is an uncommon malignancy, it could be a primary or a malignancy developing secondary to an ameloblastoma. This malignancy has the potential for both hematogenous and lymphatic spread.

Case

In this case report, we present a young man who was operated for a left-side ameloblastoma involving his hemimandible. The young man was treated with left hemimandibulectomy and reconstructed with a free fibula flap. Patient was doing well for almost two years but developed a swelling again, which indicated a recurrence as confirmed by fine-needle aspiration, but there was erosion of the neomandible. The lesion was again resected but post-operative biopsy showed ameloblastic carcinoma with free margins.

Conclusion

Some degree of suspicion for ameloblastic carcinoma should be maintained, in fast-growing recurrent ameloblastoma. Wide local excision remains the treatment of choice with adjuvant radiotherapy being an option in selected cases.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Kailash Deepak Hospital, New Delhi, India

    Padam Singh Bhandari

  2. Department of Plastic and Reconstructive Surgery, Kailash Hospital, B101, Pocket 7, Kendriya Vihar 2, Sector 82, Noida, Uttar Pradesh, 201304, India

    Parth Pratim Pasayat

  3. Lok Nayak Hospital, New Delhi, India

    Prabhat Shrivastava

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  1. Padam Singh Bhandari
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  2. Parth Pratim Pasayat
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  3. Prabhat Shrivastava
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Correspondence to Parth Pratim Pasayat.

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Bhandari, P.S., Pasayat, P.P. & Shrivastava, P. Cancerization of Ameloblastoma in Free Fibula Neomandible. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-024-02179-4

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  • DOI: https://doi.org/10.1007/s12663-024-02179-4

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