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The Onset of a Peripheral Ameloblastoma

Identifieur interne : 001B68 ( Pmc/Curation ); précédent : 001B67; suivant : 001B69

The Onset of a Peripheral Ameloblastoma

Auteurs : Kellen Cristine Tjioe [Brésil] ; José Humberto Damante [Brésil] ; Denise Tostes Oliveira

Source :

RBID : PMC:3362824

Abstract

Incipient odontogenic tumors often display intermediate features between two or more lesions leading to diagnosis dilemma. We report the onset of a peripheral ameloblastoma fortuitously found subjacent to a nondysplastic leukoplakia in the region of missing 38 teeth of a 52-year-old man. The aim of this paper is the discussion of the microscopical features observed in the case reported which allowed the establishment of the final diagnosis of an early peripheral ameloblastoma.


Url:
DOI: 10.1155/2012/729467
PubMed: 22666615
PubMed Central: 3362824

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PMC:3362824

Le document en format XML

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<nlm:aff id="I1">Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</nlm:aff>
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<name sortKey="Damante, Jose Humberto" sort="Damante, Jose Humberto" uniqKey="Damante J" first="José Humberto" last="Damante">José Humberto Damante</name>
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<p>Incipient odontogenic tumors often display intermediate features between two or more lesions leading to diagnosis dilemma. We report the onset of a peripheral ameloblastoma fortuitously found subjacent to a nondysplastic leukoplakia in the region of missing 38 teeth of a 52-year-old man. The aim of this paper is the discussion of the microscopical features observed in the case reported which allowed the establishment of the final diagnosis of an early peripheral ameloblastoma.</p>
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Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</aff>
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Area of Pathology, Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</aff>
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Alameda Octávio Pinheiro Brisolla, 9-75, 17012-901 Bauru, SP, Brazil</aff>
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<abstract>
<p>Incipient odontogenic tumors often display intermediate features between two or more lesions leading to diagnosis dilemma. We report the onset of a peripheral ameloblastoma fortuitously found subjacent to a nondysplastic leukoplakia in the region of missing 38 teeth of a 52-year-old man. The aim of this paper is the discussion of the microscopical features observed in the case reported which allowed the establishment of the final diagnosis of an early peripheral ameloblastoma.</p>
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<label>Figure 1</label>
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<p>Panoramic radiographs of the patient. (a) Taken at the first visit. No bone alterations can be seen in the area of the lesion; (b) Nine-year follow-up: no change worthy of note.</p>
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<p>(a) Nondysplastic hyperkeratotic oral epithelium (magnified in the box, H&E, 10x) and the submucous odontogenic epithelial cell islands (H&E, 2,5x); (b) Less mature odontogenic island with vacuolated oval to polyhedric cells (H&E, 40x); (c) ameloblastomatous nest composed by peripheral palisading columnar and central polyhedric cells (H&E, 20x); (d) budding projection in an ameloblastomatous island (circle) (H&E, 20x).</p>
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<label>Figure 3</label>
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<p>(a) Cystic formations in an ameloblastomatous nest (H&E, 20x); (b) squamous metaplasia seen in an ameloblastomatous nest (H&E, 20x). (c)Stroma surrounding the odontogenic epithelial islands with a more fibrous arrangement than that outer connective tissue (H&E, 10x).</p>
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