Ananya MADİYAL, G. Subhas BABU, Vidya AJİLA, Medhini MADİ, Renita CASTELİNO, Kumuda RAO

Bir fibro-kemik lezyonunu taklit eden desmoplastik ameloblastoma

Desmoplastik ameloblastoma farklı klinik, radyografik ve histopatolojik özellikler gösterir. Kapsamlı stroma kolonizasyonu veya desmoplaziyi içeren olağandışı histomorfoloji ile karakterizedir. Tümörün karışık radyoopak-radyolusent görünümü, tanıyı karmaşık hale getirir ve tedavi modalitesinde tedavide gecikmeye veya aggresivite eksikliğine neden olur. Bu maksillerde ortaya çıkma eğilimi ve infiltratif doğası ile birlikte desmoplastik ameloblastoma yanlış teşhis için tehlikeli bir lezyon oluşturur. Burada fibro-osseöz lezyonun klinik ve radyografik özelliklerini gösteren, bu nedenle histopatolojik doğrulama gerektiren bir desmoplastik ameloblastom olgusunu sunuyoruz. Hint alt kıtasında bildirilen vakaların azlığı ile bu alışılmadık lezyonla ilgili bilgi birikimimizi iyileştirmeyi ve erken ve doğru teşhisinin önemini ortaya koymayı umuyoruz.

Bir fibro-kemik lezyonu taklit eden desmoplastik ameloblastom: Literatür gözden geçirilen bir Hint vakasının raporu

Desmoplastic ameloblastoma shows distinct clinical, radiographic and histopathologic characteristics. It is characterised by unusual histomorphology comprising of extensive stromal colonisation or desmoplasia. The mixed radiopaque-radiolucent appearance of the tumor makes its diagnosis complex leading to delay in treatment or lack of aggression in the treatment modality. This, along with its propensity to occur in the maxilla and its infiltrative nature makes desmoplastic ameloblastoma a perilous lesion to misdiagnose. We describe here a case of desmoplastic ameloblastoma that showed clinical and radiographic features of a fibro-osseous lesion thereby necessitating histopathologic confirmation. With a dearth of reported cases in the Indian subcontinent, we hope to improve the body of knowledge regarding this unusual lesion and demonstrate the importance of early and accurate diagnosis.

Keywords:

Ameloblastoma, desmoplastic, radiopaque-radiolucent,

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