Analysis of ameloblastic fibroma lesion on panoramic radiograph: a case report
DOI:
https://doi.org/10.32793/jrdi.v8i3.1224Keywords:
Ameloblastoma, ameloblastic fibroma, panoramic radiographAbstract
Objectives: This case report aims to present a case of ameloblastic fibroma, an odontogenic tumor, and to describe its characteristic radiographic features as observed on a panoramic radiograph.
Case Report: A 28-year-old woman presented to the RSGM FKG Unpad with a referral for evaluation of a jaw swelling. According to the patient’s medical history, the swelling had gradually appeared over the past two years. While it was not painful, it caused discomfort, prompting her to seek medical attention. Upon examination, the lesion was found in the posterior region of the mandible, and further diagnostic imaging was recommended to determine the extent and nature of the lesion. Ameloblastic fibroma of the jaw is a benign, relatively rare, mixed odontogenic tumor whose epithelial and mesenchymal components are neoplastic. This tumor is usually diagnosed in the first and second decades of life (72.4%), when odontogenesis has been completed (80% of cases), and mainly affects the mandible. In this case, the lesion was diagnosed in the second decade of life, and occurred in the posterior region of the mandible.
Conclusion: Ameloblastic fibroma is a benign odontogenic mixed tumor, although rarely ameloblastic fibroma can recur and develop into malignancy. The aim of this case report is to analyze the radiographic appearance of the lesion with information from the history and clinical signs to establish a correct radiodiagnosis.
References
Neville BW, Allen CM, Damm DD, Chi AC, editors. Oral and maxillofacial pathology. 4th Ed. Ottawa: Elsevier; 2016. p.653-61, 669-73.
Whates E, Drage N, editors. Essentials of dental radiography and radiology. 5th Ed. Chuchill Livingstone: Elsevier; 2013.
Pillai KG, editors. Oral and maxillofacial radiology basic principles and interpretation. New Delhi: Jaypee; 2015.
Barnes L, Eveson JW, Reichart PA, Sidransky P. Pathology and Genetics of Tumours of the Head and Neck: World Health Organization Classification of Tumours: International Histological Classification of Tumors. 3rd ed. Lyon, France: IARC Press; 2005.
Regezi JA, Sciubba JJ, Jordan RC. Oral Pathology Clinical Pathologic Correlations. Amsterdam, The Netherlands: Elsevier; 4th ed; 2003.
Nelson BL, Folk GS. Ameloblastic fibroma. Head Neck Pathol 2009;3:51 ‑3.
Buchner A, Vered M. Ameloblastic fibroma: a stage in the development of a hamartomatous odontoma or a true neo plasm? Critical analysis of 162 previously reported cases plus 10 new cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Nov;116(5):598-606.
Ide F, Mishima K, Saito I, Kusama K. Rare peripheral odontogenic tumors: report of 5 cases and comprehensive review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Oct;106(4):e22-8.
Eloisa Muller, Fernando Kendi, Leticia Guimaraes et al. Ameloblastic fibroma: a case report. Clinical and Laboratory Research in Dentistry.2015 Oct; 21(4). E256.
Verma N, Neha. Ameloblastic fibroma or fibrosarcoma: a dilemma of oral surgeons. Natl J Maxillofac Surg 2016; 7(2): 191–3.
