Yucra S, Laguna P, Aillón H

Language: Spanish
References: 15
Page: 139-143
PDF size: 304.12 Kb.

ABSTRACT

Introduction: ameloblastoma is a benign odontogenic tumor of epithelial origin. According to the fifth edition of the World Health Organization (WHO) Classification of Head and Neck Tumors 2022, four types of ameloblastomas are recognized: conventional, peripheral, unicystic and adenoid. It can be divided into the following histological types: follicular, plexiform, acanthomatous, basal cell and granular. Clinically it presents as an exophytic tumor arising from the soft tissue of the tooth and is generally misinterpreted as a fibrous epulis or a pyogenic granuloma. AP is an indolent tumor that does not invade the underlying bone; However, occasionally, slight erosion can invade the cortical bone without reaching the bone marrow. Objective: to present the evolution of a patient with peripheral ameloblastoma after being treated by surgery. Clinical case: a 63-year-old female patient comes to the consultation with a clinical picture of six months of evolution, with a history of molar extraction, who after that presents pain in the socket, on intraoral examination lesion in the lower left molar area, reddish, bleeding, painful on palpation. Laboratory tests, a panoramic X-Ray and incisional biopsy were requested as complementary tests. The patient is admitted to two surgical interventions, one under local anesthesia and the other under general anesthesia. Conclusion: in this type of neoplasia, there is no standardized treatment and each case would have to be analyzed separately. It is not always easy to mediate between a conservative or radical therapeutic attitude.

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