Recurrent Ameloblastic Fibroma: Report of a Rare Case

Ameloblastic fibroma (AF) is an uncommon mixed neoplasm of odontogenic origin frequently seen in the second decade of life. It mainly presents as an intrabony lesion but can even occur peripherally. Histologically, our case showed hypercellular areas, an uncommon feature seen in typical AF. Whether...

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Main Authors: Ravikumar S. Kulkarni, Amitabh Sarkar, Sandeep Goyal
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2013/565721
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author Ravikumar S. Kulkarni
Amitabh Sarkar
Sandeep Goyal
author_facet Ravikumar S. Kulkarni
Amitabh Sarkar
Sandeep Goyal
author_sort Ravikumar S. Kulkarni
collection DOAJ
description Ameloblastic fibroma (AF) is an uncommon mixed neoplasm of odontogenic origin frequently seen in the second decade of life. It mainly presents as an intrabony lesion but can even occur peripherally. Histologically, our case showed hypercellular areas, an uncommon feature seen in typical AF. Whether this benign lesion is treated by mode of enucleation and curettage or by extensive surgery is still a topic of debate. An extensive surgical treatment is suggested as the initial approach due to its high recurrence rate (18%) and the greater chances of recurrent AFs transforming into ameloblastic fibrosarcoma (45%), together with a long-term followup. We report a case of recurrent AF with hypercellular ectomesenchyme which developed a year after its conservative removal. We conclude that in recurrent AF sufficient sections of the pathological specimen are to be taken to rule out any malignant changes that might have begun in focal areas.
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institution Kabale University
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series Case Reports in Dentistry
spelling doaj-art-845ca059c3b34decbe5fabb2665fc0392025-08-20T03:37:11ZengWileyCase Reports in Dentistry2090-64472090-64552013-01-01201310.1155/2013/565721565721Recurrent Ameloblastic Fibroma: Report of a Rare CaseRavikumar S. Kulkarni0Amitabh Sarkar1Sandeep Goyal2Department of Oral Pathology, Surendera Dental College and Research Institute, H. H. Gardens, Sri Ganganagar, Rajasthan 335001, IndiaDepartment of Oral Pathology, Surendera Dental College and Research Institute, H. H. Gardens, Sri Ganganagar, Rajasthan 335001, IndiaDepartment of Oral Pathology, Surendera Dental College and Research Institute, H. H. Gardens, Sri Ganganagar, Rajasthan 335001, IndiaAmeloblastic fibroma (AF) is an uncommon mixed neoplasm of odontogenic origin frequently seen in the second decade of life. It mainly presents as an intrabony lesion but can even occur peripherally. Histologically, our case showed hypercellular areas, an uncommon feature seen in typical AF. Whether this benign lesion is treated by mode of enucleation and curettage or by extensive surgery is still a topic of debate. An extensive surgical treatment is suggested as the initial approach due to its high recurrence rate (18%) and the greater chances of recurrent AFs transforming into ameloblastic fibrosarcoma (45%), together with a long-term followup. We report a case of recurrent AF with hypercellular ectomesenchyme which developed a year after its conservative removal. We conclude that in recurrent AF sufficient sections of the pathological specimen are to be taken to rule out any malignant changes that might have begun in focal areas.http://dx.doi.org/10.1155/2013/565721
spellingShingle Ravikumar S. Kulkarni
Amitabh Sarkar
Sandeep Goyal
Recurrent Ameloblastic Fibroma: Report of a Rare Case
Case Reports in Dentistry
title Recurrent Ameloblastic Fibroma: Report of a Rare Case
title_full Recurrent Ameloblastic Fibroma: Report of a Rare Case
title_fullStr Recurrent Ameloblastic Fibroma: Report of a Rare Case
title_full_unstemmed Recurrent Ameloblastic Fibroma: Report of a Rare Case
title_short Recurrent Ameloblastic Fibroma: Report of a Rare Case
title_sort recurrent ameloblastic fibroma report of a rare case
url http://dx.doi.org/10.1155/2013/565721
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AT amitabhsarkar recurrentameloblasticfibromareportofararecase
AT sandeepgoyal recurrentameloblasticfibromareportofararecase