Primary sinonasal ameloblastoma: A case illustration and systematic review of literature

Primary sinonasal ameloblastoma (SNA) arising from sinonasal tract is very rare with few cases reported in the literature. When faced with this clinical challenge, there is currently a paucity of evidence available in the literature for the optimal diagnosis and management of patients. The present s...

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Main Authors: Sampurna Raha, Rajiv S. Desai, Pankaj M. Shirsat, Shivani P. Bansal, Pooja Prasad, Ankush P. Jain, Poorvashree P. Bobade
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024000177
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author Sampurna Raha
Rajiv S. Desai
Pankaj M. Shirsat
Shivani P. Bansal
Pooja Prasad
Ankush P. Jain
Poorvashree P. Bobade
author_facet Sampurna Raha
Rajiv S. Desai
Pankaj M. Shirsat
Shivani P. Bansal
Pooja Prasad
Ankush P. Jain
Poorvashree P. Bobade
author_sort Sampurna Raha
collection DOAJ
description Primary sinonasal ameloblastoma (SNA) arising from sinonasal tract is very rare with few cases reported in the literature. When faced with this clinical challenge, there is currently a paucity of evidence available in the literature for the optimal diagnosis and management of patients. The present systematic review analyses the clinicopathology, complications, recurrence rate, survival, and outcomes following the management of SNA and compared with gnathic ameloblastoma (GA). Also, a case of SNA that reported to our department was included in the present study. The electronic search process was conducted on PubMed-Medline, Embase, and Scopus. Twenty-seven publications with 59 reported cases were found to meet the eligibility criteria. Quality assessment of the case reports and series was also done. The age of included cases ranged from 14 to 81 years (mean age of 56.8 years) with male to female ratio of 2.5:1. The majority of patients had nasal obstruction (n = 46). Most common histological variant of SNA was plexiform with prevalence rate of 54 %. There were six SNA-related deaths in the included studies. Data from included studies suggest that SNAs histologically resemble GA, but have different clinical presentation, immunohistochemistry (IHC) and outcomes. This review suggests that SNA is poorly understood. In-depth analysis and follow-up of the reported cases should be performed to diagnose the disease early so that clinicians can provide adequate treatment to the patients. Also, the need for more studies on IHC and advanced molecular techniques for BRAFv600e and SMO mutational status was proposed for better understanding of the lesion.
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spelling doaj-art-c03a0401a0e44d678fb76387c725611c2025-01-09T06:15:13ZengElsevierOral Oncology Reports2772-90602024-03-019100171Primary sinonasal ameloblastoma: A case illustration and systematic review of literatureSampurna Raha0Rajiv S. Desai1Pankaj M. Shirsat2Shivani P. Bansal3Pooja Prasad4Ankush P. Jain5Poorvashree P. Bobade6Department of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, 400008, IndiaCorresponding author. – .; Department of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, 400008, IndiaDepartment of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, 400008, IndiaDepartment of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, 400008, IndiaDepartment of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, 400008, IndiaDepartment of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, 400008, IndiaDepartment of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, 400008, IndiaPrimary sinonasal ameloblastoma (SNA) arising from sinonasal tract is very rare with few cases reported in the literature. When faced with this clinical challenge, there is currently a paucity of evidence available in the literature for the optimal diagnosis and management of patients. The present systematic review analyses the clinicopathology, complications, recurrence rate, survival, and outcomes following the management of SNA and compared with gnathic ameloblastoma (GA). Also, a case of SNA that reported to our department was included in the present study. The electronic search process was conducted on PubMed-Medline, Embase, and Scopus. Twenty-seven publications with 59 reported cases were found to meet the eligibility criteria. Quality assessment of the case reports and series was also done. The age of included cases ranged from 14 to 81 years (mean age of 56.8 years) with male to female ratio of 2.5:1. The majority of patients had nasal obstruction (n = 46). Most common histological variant of SNA was plexiform with prevalence rate of 54 %. There were six SNA-related deaths in the included studies. Data from included studies suggest that SNAs histologically resemble GA, but have different clinical presentation, immunohistochemistry (IHC) and outcomes. This review suggests that SNA is poorly understood. In-depth analysis and follow-up of the reported cases should be performed to diagnose the disease early so that clinicians can provide adequate treatment to the patients. Also, the need for more studies on IHC and advanced molecular techniques for BRAFv600e and SMO mutational status was proposed for better understanding of the lesion.http://www.sciencedirect.com/science/article/pii/S2772906024000177Primary sinonasal ameloblastomaAmeloblastomaGnathicParanasal sinusesTreatmentPrognosis
spellingShingle Sampurna Raha
Rajiv S. Desai
Pankaj M. Shirsat
Shivani P. Bansal
Pooja Prasad
Ankush P. Jain
Poorvashree P. Bobade
Primary sinonasal ameloblastoma: A case illustration and systematic review of literature
Oral Oncology Reports
Primary sinonasal ameloblastoma
Ameloblastoma
Gnathic
Paranasal sinuses
Treatment
Prognosis
title Primary sinonasal ameloblastoma: A case illustration and systematic review of literature
title_full Primary sinonasal ameloblastoma: A case illustration and systematic review of literature
title_fullStr Primary sinonasal ameloblastoma: A case illustration and systematic review of literature
title_full_unstemmed Primary sinonasal ameloblastoma: A case illustration and systematic review of literature
title_short Primary sinonasal ameloblastoma: A case illustration and systematic review of literature
title_sort primary sinonasal ameloblastoma a case illustration and systematic review of literature
topic Primary sinonasal ameloblastoma
Ameloblastoma
Gnathic
Paranasal sinuses
Treatment
Prognosis
url http://www.sciencedirect.com/science/article/pii/S2772906024000177
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