Saudi Journal of Oral and Dental Research (SJODR)
Volume-3 | Issue-03 | 86-91
Case Report
An Unusual Case of Desmoplastic Variant of Ameloblastoma in the Anterior Maxilla – A Case Report
Dr. Mihir Dani, Dr. Mohan Baliga, Dr. Partho Shankar Chakraborty
Published : March 30, 2018
Abstract
Desmoplastic ameloblastoma (DA) is a rare subtype of ameloblastoma,
exhibiting eloquent variation in its clinical, radiological and histologic appearance. In
2017 WHO classification of a head and neck tumour has further modified this entity
and titled it as a histologic variant of conventional ameloblastoma. A tumour mimics
benign fibro-osseous lesion for being often prevailing in the anterior region of jaws
as a mixed radiopaque-radiolucent lesion. We present a case of desmoplastic
ameloblastoma in a 55-year-old male with a painless swelling in the anterior region
of right maxilla. Ct scan shows a mixed lesion with multilocular appearance. An
incisional biopsy verified it to be a case of desmoplastic ameloblastoma. Partial
maxillectomy was performed on the right side. The patient is on routine follow-up
with no recurrence. The present case deserves emphasis because of its unfamiliar
appearance, potentially aggressive nature and deceptive radiologic appearance
maximizing the chances of misdiagnosis. So, the clinician should be alert enough to
include desmoplastic ameloblastoma in the differential diagnosis of any
lesion/growth with mixed radiolucent-radiopaque appearance having ill-defined
borders and occurring in anterior maxilla or mandible.