Ameloblastic fibroma in one-year-old girl

Munde, Anita; Karle, Ravindra; Kale, U. B.

doi:10.4103/0973-029x.110734

Cited by 6 publications

(11 citation statements)

References 9 publications

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“…Another similar case details a 1-year-old patient presenting with "swelling in her posterior mandible" that was noted to be hard to palpation. 12 Like the case in this paper, no pus or drainage was observed, and "the buccal cortical plate expansion in the region of swelling was detected." 12 The lesion was also treated with surgical excision and direct curettage.…”

Section: Case Descriptionsupporting

confidence: 49%

Pediatric Ameloblastic Fibroma: A Case Report

Whitson¹,

Kim²,

Youngblood³

et al. 2020

The Journal of Contemporary Dental Practice

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Aim: To highlight the potential difficulties in diagnosing neoplastic lesion of the head and neck in children within autism spectrum. Background: Ameloblastic fibromas are a variation of odontogenic tumors that are located in the posterior mandible in 70% of cases. The tumors may be either unilocular or multilocular when observed radiographically. Ameloblastic fibromas tend to have well-defined, scalloped margins radiographically but may also be corticated. In close to 75% of all cases, an impacted tooth is associated with the lesion. Although not confined to patients who are in their first or second decades of life, ameloblastic fibromas most often arise in this population. Case description: A 9-year-old male diagnosed with autism presented with tenderness in the left mandible. The parents were able to elucidate the child's problem as tingling rather than pain. The patient was referred for histopathological diagnosis and treatment. After evaluation and biopsy, the lesion was identified as a pediatric ameloblastic fibroma. He subsequently underwent the conservative approach of marsupialization and curettage without complication. Six-month follow-up revealed no evidence of recurrence and normal eruption patterns of the succedaneous teeth in the affected area. Conclusion:In this specific case, the conservative approach to treatment appears to have been appropriate. This may not be the appropriate course for every case; as such, each case will have an individualized approach. Earlier recognition with careful inspection can reduce potential complications. Clinical significance: We might be missing early diagnosis of ameloblastic fibroma and other significant orofacial neoplasms in patients who are nonverbal or nondescriptive such as those with autism. Moreover, careful inspection of radiographic and clinical signs cannot be overemphasized.

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Section: Case Descriptionsupporting

confidence: 49%

Pediatric Ameloblastic Fibroma: A Case Report

Whitson¹,

Kim²,

Youngblood³

et al. 2020

The Journal of Contemporary Dental Practice

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“…Ameloblastic fibroma is a rare, benign, mixed odontogenic tumour, comprising 1.5–4.5% of all odontogenic tumours [ 3 ], and is characterised by proliferating odontogenic epithelium embedded in a cellular ectomesenchymal tissue resembling dental papilla, with no hard dental tissue formation [ 4 ]. Lesions formed of similar components, but characterized by deposition of dentin alone or dentin plus enamel, are termed AFD and AFO, respectively [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Ameloblastic fibro-odontoma with chondroid tissue formation

Aly

Amer

Khatib

2018

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Ameloblastic fibro-odontoma (AFO) is an uncommon, benign, mixed odontogenic tumour occurring predominantly in children and adolescents. The purpose of this study was to report an unusual case of AFO in the mandible of a five-year-old male patient showing evidence of chondroid tissue formation. Clinical, radiographic, histopathological and immunohistochemical findings were presented. Intraoral examination revealed a swelling extending from the right deciduous lateral incisor to the left second molar area. Computed tomography (CT) showed a large, well-demarcated multilocular radiolucency with radiopaque deposits. Histologically, the lesion was composed of connective tissue stroma resembling the dental papilla, with epithelial islands, and amorphous masses of enamel and dentin consistent with a diagnosis of AFO, as well as, evidence of large areas showing cartilaginous tissue formation. Immunohistochemistry using cytokeratin, vimentin and s-100 were helpful in determining the origin of the different odontogenic tissues. Surgical excision of the lesion was performed. The patient has been monitored and the lesion has not recurred. We report the first case of AFO showing an unusual behaviour of chondroid tissue formation.

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“…Unusual presentations include an ameloblastoma in association with ameloblastic fibroma in a 5-year-old boy [13], a cystic ameloblastic fibroma in a 7-year-old boy [14], and ameloblastic fibroma in a 1-year-old girl [15].…”

Section: Discussionmentioning

confidence: 99%