Basal cell ameloblastoma in a paediatric patient: a case report and review of oral basal cell tumours

Abstract

Basal cell ameloblastoma (BCA) is a rare histological variant of ameloblastoma. It is composed of densely packed nests and strands of basaloid cells with inconspicuous stellate reticulum‐like cells. To date, there are only 24 reported cases of BCA in the English language literature. Ameloblastoma in children is relatively an uncommon tumour and accounts for approximately 15% among all odontogenic tumours. We report a case of BCA in an 8‐year‐old Iban girl who underwent hemimandibulectomy and reconstruction of the mandible with costochondral graft (CCG). A 6 months review showed that healing process was uneventful. She is under regular follow‐up and monitoring since multicystic ameloblastoma tend to recur and also the growth of the CCG is extremely unpredictable.

An unusual case report of basal cell ameloblastoma and a detailed review of literature

“…Hence, it is difficult to understand nature and clinicopathological relation. [ 9 ] We did a PubMed and google scholar database search for basal cell variant of ameloblastoma [ Table 1 ]. [ 2 7 10 11 12 13 14 15 16 17 18 19 20 21 22 23 ] We found that most of the reported cases of BCA were seen in the 3 rd to 5 th decade, and the maxilla to mandible ratio reported was 1:1.2 with no gender predilection.…”

“…Alterations in the peripheral cell nuclei can be seen. [ 9 20 ] Histopathologically, differential diagnosis can be intraoral basal cell carcinoma and basal cell adenoma. [ 2 25 ] Immunohistological (IHC) studies have been conducted on variants of ameloblastoma including six cases of BCA.…”