Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
DOI:
https://doi.org/10.33448/rsd-v9i10.9014Keywords:
Ameloblastoma; Mandible; Surgical descompression; Curettage; Conservative treatment.Abstract
Ameloblastoma is a benign odontogenic tumor of epithelial origin with slow, asymptomatic, rare growth and is associated with a high rate of recurrence, being responsible for 1% of mandibular tumors. There are several variations of these tumors, with solid / multicystic and unicystic types being the most recurrent. The signs are discrete and rarely noticed by the patient in the early stages. In the imaging examination, it presents itself as a well-delimited radiolucent image, which may be associated with the crown of an unerupted tooth, resorption of adjacent roots and vestibular-lingual medullary expansion. In the literature, the most appropriate treatment for the management of such pathology is still controversial, since there are conservative philosophies such as curettage, marsupialization (decompression) and defending currents of the radical surgical approach through resection with a safety margin. This study aims to report a case of curettage of follicular unicystic ameloblastoma with a single incidence of recurrence and treated again by means of a conservative surgical approach and continuing with a 19-year clinical preservation, without any clinical or imaging signs of recurrence.
References
Anavi, Y., Gal, G., Miron, H., Calderon, S., & Allon, D. M. (2011). Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, 112(2), 164-169.
Chae, M. P., Smoll, N. R., Hunter-Smith, D. J.,
& Rozen, W. M. (2015). Establishing the natural history and growth rate of ameloblastoma with implications for management: systematic review and meta-analysis. PLoS One, 10(2), e0117241.
Chouinard, A. F., Peacock, Z. S., Faquin, W. C., & Kaban, L.B. (2017). Unicystic Ameloblastoma Revisited: Comparison of Massachusetts General Hospital Outcomes With Original Robinson and Martinez Report. Journal of Oral and Maxillofacial Surgery, 75(11), 2369-2378.
El-Naggar, A. K., Chan, K. C. J., Grandis, J. R., Takat, T., & Slootweg, P. J. (2017). World Health Organization Classification of Head and Neck Tumours. 4th ed. Lyon: IARC.
França, L. J., Curioni, A. O., Paiva, D. L., & Vianna, D. M. (2012). Ameloblastoma demographic, clinical and treatment study - analysis of 40 cases. Brazilian Journal of Otorhinolaryngology, 78(3), 38–41.
Hsu, M. H., Chiang, M. L., & Chen, J. K. (2014). Unicystic ameloblastoma. Journal of Dental Sciences, 9,407-411.
Isacsson, G., Andersson, L., Forsslund, H., Bodin, I., & Thomsson, M. (1986). Diagnosis and treatment of the unicystic ameloblastoma. International Journal of Oral and Maxillofacial Surgery, 15(6), 759-764.
Kim, J., Nam, E., & Yoon, S. (2017). Conservative management (marsupialization) of unicystic ameloblastoma: literature review and a case report. Maxillofacial Plastic and Reconstructive Surgery, 39(1), 38.
Kruschewsky, L. S., Cincurá, C., Teixeira, F. A., & Filho, F. V. M. (2010). Ameloblastoma: aspectos clínicos e terapêuticos. Ameloblastoma: clinical and therapeutics aspects. Revista Brasileira de Cirurgia Craniomaxilofacial, 13(4), 241-245.
Kumar, B. S. (2014). Unicystic ameloblastoma of the mandible – report of two cases with review of literature. Journal of Clinical and Diagnostic Research, 8(5):7-9.
Kumar, V. (2015). Conservative surgical approach to aggressive benign odontogenic neoplasm: a report of three cases. Journal of the Korean Association of Oral and Maxillofacial Surgery, 41(1):37-42.
Laborde, A., Nicot, R., Wojcik, T., Ferri, J., & Raoul, G. (2017). Ameloblastoma of the jaws: Management and recurrence rate. European Annals of Otorhinolaryngology, Head and Neck Diseases, 134(1):7-11.
Lee, P. K., Samman, N., & Ng, I. O. (2004). Unicystic ameloblastomaduse of Carnoy’s solution after enucleation. International Journal of Oral and Maxillofacial Surgery, 33(3), 263-267.
Li, T. J., Wu, Y. T., Yu, S. F., & Yu, G. Y. (2000). Unicystic ameloblastoma: a clinicopathologic study of 33 Chinese patients. The American Journal of Surgical Pathology, 24(10), 1385-1392.
McClary, A. C., West, R. B., McClary, A. C., Pollack, J. R., Fischbein, N. J., Holsinger, C. F., Sunwoo, J., Colevas, A. D., & Sirjani, D. (2016). Ameloblastoma: a clinical review and trends in management. European Archives of Oto-Rhino-laryngology, 273(7), 1649-1661.
Menezes, L. M., Cruz, E. L. S., Junior, J. T. C., Kataoka, M. S. S., Junior, S. M. A., & Pineiro, J. J. V. (2017). Maxillary ameloblastoma in an elderly patient: Report of a surgical approach. Human Pathology: Case Reports, 10:25–29.
Moraes, F. B., Cardoso, R. M. N., Rodrigues, S. V., Dutra, M.V. F., Pereira, U. R., & Borges, T. R. S. A. (2014). Ameloblastoma: a clinical and therapeutic analysis on six cases. Revista Brasileira de Ortopedia, 49(3),305-308.
Osterne, R. L., Brito, R. G., Alves, A. P., Cavalcante, R. B., & Souza, F. B. (2011). Odontogenic tumors: a 5 years retrospective study in a Brazilian population and analysis of 3406 cases reported in literature. Oral Surgery, Oral Medicine, Oral Patholology, Oral Radiology and Endodontics, 111(4), 474-481.
Park, H. S., Canção, I. S., Seo, B. M., Lee, J. H., & Kim, M. J. (2014). A eficácia da descompressão em pacientes com cistos dentígeros, tumores odontogênicos queratocísticos e ameloblastoma unicístico. Journal of the Korean Association of Oral and Maxillofacial Surgery, 40(6), 260–265.
Selvamani, M., Yamunadevi, A., Basandi, P., & Madhushankari, G. (2014). Analysis of prevalence and clinical features of multicystic ameloblastoma and its histological subtypes in South Indian sample population: a retrospective study over 13 years. Journal of Pharmacy & Bioallied Sciences,6(Suppl 1), S131-4.
Thambi, R., Subitha, K., Mohan, S., & Letha, V. (2012). Preoperative cytological diagnosis of ameloblastoma involving the maxilla. Indian Journal of Pathology & Microbiology, 55(4), 591-592.
Vallicioni, J., Loum, B., Dassonville, O., Poissonnet, G., Ettore, F., & Demard F. (2007). Ameloblastomas. Annales d`Oto-laryngologie et de Chirurgie Cervico faciale, 124(4), 166-171.
Wright, J. M. & Vered, M. (2017). Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Odontogenic and Maxillofacial Bone Tumors. Head and Neck Pathology, 11(1), 68-77.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Gabriel Sousa Lima; Cristóvão Marondes de Castro Rodrigues; Izabella Sol; Vinícius Lima de Almeida; Ricardo Pedro da Silva; Danyella Carolyna Soares dos Reis; Darceny Zanetta Barbosa; Flaviana Soares Rocha; Cláudia Jordão Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
