Unmasking The True Pathology: Differentiating Between OKC And Follicular Ameloblastoma

Authors

  • Dr. Nikil Kumar Jain
  • Dr. Pramod Kumar Singh
  • Dr. Madhumita Kumari
  • Dr. Manish Kumar
  • Dr. Sameena Rizvi

DOI:

https://doi.org/10.69980/ajpr.v27i2.200

Keywords:

odontogenic keratocyst, Follicular ameloblastoma, jaw cyst, histopathology, diagnosis, recurrence, multidisciplinary approach.

Abstract

Diagnosing cystic lesions in the oral cavity can be tricky due to overlapping features. This case report tells the story of a 34-year-old man who came to our clinic with a painful swelling in his left jaw. Initially, it looked like an odontogenic keratocyst (OKC) based on x-rays and clinical signs. However, a detailed histopathological exam revealed it was actually a follicular ameloblastoma. This case highlights the importance of thorough diagnostic tests and teamwork among healthcare providers to get the right diagnosis and treatment. It also emphasizes the need for long-term follow-up because both OKC and Follicular ameloblastoma (FA) can come back after treatment.

Author Biographies

Dr. Nikil Kumar Jain

Professor, Department of Oral and Maxillofacial Surgery, Awadh Dental college and Hospital, Jamshedpur

Dr. Pramod Kumar Singh

Reader, Department of oral and Maxillofacial Surgery, Awadh Dental college and Hospital , Jamshedpur

Dr. Madhumita Kumari

PG Student Department of oral and Maxillofacial Surgery, Awadh Dental college and Hospital, Jamshedpur.

Dr. Manish Kumar

Senior Lecturer, Department of oral and Maxillofacial Surgery, Awadh Dental college and Hospital, Jamshedpur.

Dr. Sameena Rizvi

PG Student, Department of Oral and Maxillofacial Pathology and microbiology, Awadh Dental college and Hospital, Jamshedpur.

References

1. Nadendla LK. Unusual imaging appearance of unicystic ameloblastoma. Contemp Clin dent 2012;3:475 7.

2. Effiom, O.A.; Ogundana, O.M.; Akinshipo, A.O.; Akintoye, S.O. Ameloblastoma: Current etiopathological concepts and management. Oral Dis. 2018, 24, 307–316. [CrossRef] [PubMed]

3. D. G. Gardner, K. Heikinheimo, M. Shear, H. P. Philipsen, and H. Coleman, “Ameloblastoma,” in World Health Organization Classification of Tumors: Pathology and Genetics of Head and Neck tumors, L. Barnes, E. J. Eveson, P. Reichart, andD. Sidransky, Eds., pp. 296–300, IARC Press, Lyon, France, 3rd edition, 2005.

4. Larsson A, Almerén H: Ameloblastoma of the jaws. An analysis of a consecutive series of all cases reported to the Swedish Cancer Registry during 1958--1971. Acta Pathol Microbiol Scand. 1978, 86:337-49. 10.1111/j.1699-0463.1978.tb02054.x

5. H, Mohammad S, Malkunje LR, Singh N, Das S, Mehta G. Ameloblastoma of the anterior mandible. Natl J Maxillofac Surg 2014;5:47-50.

6. Ackermann GL, Altini M, Shear M. The unicystic ameloblastoma: A clinicopathological study of 57 cases. J Oral Pathol. 1988;17:541–6. [PubMed] [Google Scholar]

7. Panneerselvam K, Kavitha B, Panneerselvam E, Parameswaram A, mural cystic ameloblastoma mimicking odontogenic cyst. J Family Med Prim Care 2020;9:2524-7

8. Brown and Betz. Ameloblastoma: A Review of Recent Molecular Pathogenetic Discoveries. Biomarkers for cancer 2015:7(S2) 19-24.

9. Sammartino G, Zarrelli C, Urciuolo V, di Lauro AE, di Lauro F, Santarelli A, et al. Effectiveness of a new decisional algorithm in managing mandibular ameloblastomas: a 10-years experience. Br J Oral Maxillofac Surg. 2007;45:306–10. [PubMed] [Google Scholar]

10. Firth N, Alsarraf N, Kujan O . Synchronous occurance of odontogenic and ameloblastoma : A case report and review of the literature. Clinical and Practice 2020

Downloads

Published

2024-12-30