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Ameloblastic carcinoma of mandible: facts and dilemmas

Abstract

Ameloblastic carcinoma is a rare malignant odontogenic tumor and is considered as the malignant counterpart of ameloblastoma with features of both benign and malignant histology. It may arise de novo or from a long-standing ameloblastoma and is locally aggressive with a propensity for metastasis. With limited documentation, little is known about its pathobiogenesis, with no universal guidelines for management. For clinicians, differentiating ameloblastic carcinoma from ameloblastoma and malignant ameloblastoma in a patient presenting with a suspicious jaw tumor is a challenge due to overlapping clinical features, inconclusive cytology/biopsy reports, different management approaches and inadequate follow-up. Proper knowledge of the disease entity and a high index of suspicion are essential. Here we elaborate the dilemmas in diagnosis and management of ameloblastic carcinoma through presentation of a representative case in a 56-year-old man presenting with a tumor in the mandible.

Tumori 2014; 100(5): e189 - e196

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.1700/1660.18190

Authors

Mainak Dutta, Sohag Kundu, Himel Bera, Sabyasachi Barik, Bhaskar Ghosh

Article History

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Authors

  • Dutta, Mainak [PubMed] [Google Scholar]
    Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, Kolkata, West Bengal
  • Kundu, Sohag [PubMed] [Google Scholar]
    Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, Kolkata, West Bengal
  • Bera, Himel [PubMed] [Google Scholar]
    Department of Pathology, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India
  • Barik, Sabyasachi [PubMed] [Google Scholar]
    Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, Kolkata, West Bengal
  • Ghosh, Bhaskar [PubMed] [Google Scholar]
    Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, Kolkata, West Bengal

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