Title: A Rare Case of Ameloblastic Carcinoma of Mandible and Its Reconstruction with Iliac Crest Graft
Authors: Dr Vilas P Newaskar, Dr Deepak Agrawal, Dr Saurabh Gupta
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.142
Abstract
Malignant odontogenic tumors are rare and represent approximately 1% of all oral malignancies. Ameloblastic carcinoma is a rare malignant lesion with characteristic histological features and behaviour that dictates a more aggressive surgical approach than that of a simple ameloblastoma. It occurs primarily in the mandible in a wide range of age groups. It may arise de-novo or in pre-existing ameloblastoma or odontogenic cyst. The clinical course of ameloblastic carcinoma is typically aggressive, with extensive local destruction. Direct extension of the tumor, lymph node involvement and metastasis to various sites (frequently the lung) have been reported. Wide local excision is the treatment of choice. This article describes a rare case of a ameloblastic carcinoma of the mandible encountered in a 28 year-old female patient and includes an insight into reconstructive procedures in such situation.
Keywords- Ameloblastic carcinoma, Metastasis.
