Ameloblastic Fibro-Odontoma: A Diagnostic Challenge

An 11-year-old girl presented to our department to have a second opinion regarding a lesion involving her left mandible. She had previously undergone several radiographic exams including panoramic, helical, and cone-beam computed tomography. Radiographic examinations revealed a well-defined radioluc...

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Main Authors: Elen de Souza Tolentino, Bruna Stuchi Centurion, Marta Cunha Lima, Patrícia Freitas-Faria, Alberto Consolaro, Eduardo Sant'ana
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2010/104630
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author Elen de Souza Tolentino
Bruna Stuchi Centurion
Marta Cunha Lima
Patrícia Freitas-Faria
Alberto Consolaro
Eduardo Sant'ana
author_facet Elen de Souza Tolentino
Bruna Stuchi Centurion
Marta Cunha Lima
Patrícia Freitas-Faria
Alberto Consolaro
Eduardo Sant'ana
author_sort Elen de Souza Tolentino
collection DOAJ
description An 11-year-old girl presented to our department to have a second opinion regarding a lesion involving her left mandible. She had previously undergone several radiographic exams including panoramic, helical, and cone-beam computed tomography. Radiographic examinations revealed a well-defined radiolucent region, which contained an irregular radiopaque mass of 3 cm in diameter, localized to the left angle of the mandible. Our presumptive diagnosis was complex odontoma. Excisional biopsy was performed, and microscopic features showed strands and islands of odontogenic epithelium showing peripheral palisading and loosely arranged central cells, identical to stellate reticulum, embedded in a myxoid cell-rich stroma resembling the dental papilla. Dentin and enamel were also presented. The diagnosis was ameloblastic fibro-odontoma, which is a rare mixed odontogenic tumor, derived from epithelial and ectomesenchymal elements that form the dental tissues.
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institution Kabale University
issn 1687-8728
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language English
publishDate 2010-01-01
publisher Wiley
record_format Article
series International Journal of Dentistry
spelling doaj-art-fb82ab36318943f486357ef15f1259542025-02-03T05:54:15ZengWileyInternational Journal of Dentistry1687-87281687-87362010-01-01201010.1155/2010/104630104630Ameloblastic Fibro-Odontoma: A Diagnostic ChallengeElen de Souza Tolentino0Bruna Stuchi Centurion1Marta Cunha Lima2Patrícia Freitas-Faria3Alberto Consolaro4Eduardo Sant'ana5Bauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisola 9-75, Bauru, São Paulo 17012-901, BrazilBauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisola 9-75, Bauru, São Paulo 17012-901, BrazilBauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisola 9-75, Bauru, São Paulo 17012-901, BrazilBauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisola 9-75, Bauru, São Paulo 17012-901, BrazilBauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisola 9-75, Bauru, São Paulo 17012-901, BrazilBauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisola 9-75, Bauru, São Paulo 17012-901, BrazilAn 11-year-old girl presented to our department to have a second opinion regarding a lesion involving her left mandible. She had previously undergone several radiographic exams including panoramic, helical, and cone-beam computed tomography. Radiographic examinations revealed a well-defined radiolucent region, which contained an irregular radiopaque mass of 3 cm in diameter, localized to the left angle of the mandible. Our presumptive diagnosis was complex odontoma. Excisional biopsy was performed, and microscopic features showed strands and islands of odontogenic epithelium showing peripheral palisading and loosely arranged central cells, identical to stellate reticulum, embedded in a myxoid cell-rich stroma resembling the dental papilla. Dentin and enamel were also presented. The diagnosis was ameloblastic fibro-odontoma, which is a rare mixed odontogenic tumor, derived from epithelial and ectomesenchymal elements that form the dental tissues.http://dx.doi.org/10.1155/2010/104630
spellingShingle Elen de Souza Tolentino
Bruna Stuchi Centurion
Marta Cunha Lima
Patrícia Freitas-Faria
Alberto Consolaro
Eduardo Sant'ana
Ameloblastic Fibro-Odontoma: A Diagnostic Challenge
International Journal of Dentistry
title Ameloblastic Fibro-Odontoma: A Diagnostic Challenge
title_full Ameloblastic Fibro-Odontoma: A Diagnostic Challenge
title_fullStr Ameloblastic Fibro-Odontoma: A Diagnostic Challenge
title_full_unstemmed Ameloblastic Fibro-Odontoma: A Diagnostic Challenge
title_short Ameloblastic Fibro-Odontoma: A Diagnostic Challenge
title_sort ameloblastic fibro odontoma a diagnostic challenge
url http://dx.doi.org/10.1155/2010/104630
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AT brunastuchicenturion ameloblasticfibroodontomaadiagnosticchallenge
AT martacunhalima ameloblasticfibroodontomaadiagnosticchallenge
AT patriciafreitasfaria ameloblasticfibroodontomaadiagnosticchallenge
AT albertoconsolaro ameloblasticfibroodontomaadiagnosticchallenge
AT eduardosantana ameloblasticfibroodontomaadiagnosticchallenge