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Recurrent mandibular ameloblastoma in soft tissue and rib graft 17 years after initial presentation

Authors
  • Hamdy, Omar1
  • Raafat, Sara2
  • Saleh, Gehad A.2
  • Awny, Shadi1
  • Shebl, Abdelhadi M.2
  • Hegazy, Mohammed A.1
  • 1 Oncology Center Mansoura University (OCMU), Mansoura, Egypt , Mansoura (Egypt)
  • 2 Mansoura University, Mansoura, Egypt , Mansoura (Egypt)
Type
Published Article
Journal
Journal of the Egyptian National Cancer Institute
Publisher
Springer Berlin Heidelberg
Publication Date
Jan 06, 2020
Volume
32
Issue
1
Identifiers
DOI: 10.1186/s43046-019-0012-1
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundAmeloblastoma is the commonest odontogenic tumour of epithelial origin with a high incidence for developing local recurrence. We present a patient who developed local recurrence in both soft tissue and bone graft 17 years after the initial presentation.Case presentationA 75-year-old female with a previous history of right hemimandibulectomy and rib reconstruction for ameloblastoma in 1999 presented to our centre with a large cystic mouth floor swelling, biopsy from which revealed recurrent ameloblastoma. The patient underwent excision of the recurrent mass en bloc with the cystic swelling through oral and cervical approaches. The patient was discharged after 5 days with an uneventful postoperative course and with a free 2-year follow-up from further recurrence.ConclusionAmeloblastoma is a locally aggressive tumour for which wide local excision with adequate margins is the best management approach. Recurrence of ameloblastoma even after adequate resection is not uncommon, and its management is considered a surgical challenge. A very long time may pass between the initial presentation and the development of recurrence.

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