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Ameloblastic Carcinoma: A Rare Pathology But Not Exceptional

DOI : https://doi.org/10.36349/easjms.2020.v02i01.003
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Ameloblastic carcinoma is a tumor which combines histological characteristics of ameloblastoma and the cytological features of malignity. According to the evolution, it can be primary or secondary. The treatment is not yet well defined. Surgery which remains the main treatment modality should be more aggressive than in a usual ameloblastoma. This article reports a case of a secondary ameloblastic carcinoma and its treatment in our context. The patient was a woman, age 45 years, treated four times before by conservative surgery method on the mandible for ameloblastoma, each followed by recurrences. A panoramic radiography exam showed a destruction of the corpus of the mandible. From a biopsy, the histological analysis concluded to an ameloblastic carcinoma. The treatment was a radical surgery resection of the whole corpus of the mandible far from the ends of lesion. This corpus was immediately rebuild by two metallic plaques disposed one over the other, fixed on the two ramus. Post operative period was simple and five years after, there is no recurrence.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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