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CASE REPORT
Year : 2016  |  Volume : 8  |  Issue : 7  |  Page : 817-822

Multifarious Histological Patterns in Solid Multicystic Ameloblastoma: A Rare Presentation


1 Professor, Department of Oral Pathology and Microbiology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
2 Post-graduate Student, Department of Oral Pathology and Microbiology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
3 Reader, Department of Oral Pathology and Microbiology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
4 Senior Lecturer, Department of Oral Pathology and Microbiology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
5 Professor & Head, Department of Oral Pathology and Microbiology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India

Correspondence Address:
Sujatha Ramachandra
Department of Oral Pathology & Microbiology, Kalinga Institute of Dental Sciences, Odisha, India

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Source of Support: None, Conflict of Interest: None


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The jaws are host to a wide variety of cysts and tumors, contributed largely by the tissues involved in tooth formation. Ameloblastoma, the second most common odontogenic tumor is usually a benign, locally aggressive neoplasm of enamel organ type tissue, which does not undergo differentiation to the point of enamel formation. It commonly manifests as a slow-growing, locally invasive neoplasm, located intraosseously showing few or no clinical signs in early stages whichmaygraduallyresultinfacialdeformity,looseteeth,pathological fracture, and pain due to secondary infection or impingement on peripheral nerves. This tumor shows a male predilection and mandible (ramus area) is affected more commonly than the maxilla. These tumors also tend to show wide morphological variations. We report a case of solid multicystic ameloblastoma (SMA) in a 27-year-old male patient who presented with the complaint of pain and a slow growing swelling in the lower right posterior region of the jaw since 3 months. Hemimandibulectomy was done and the resected specimen, when subjected to histopathological examination, confirmed the diagnosis of SMA showing a mix of histological patterns comprising of follicular, plexiform along with the uncommon granular type. This case report also reviews various mixed histopathologic patterns seen in SMA.


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