Recurrent ameloblastoma of mandible - A case report

Abstract

Ameloblastoma is a benign odontogenic tumor of epithelial origin. It is locally aggressive with unlimited growth capacity and has a high potential for malignant transformation as well as metastasis. Ameloblastoma has no established preventive measures although majority of patients are between ages 30 and 60 years. Among all types of ameloblastomas, multicystic ameloblastoma is believed to be a locally aggressive lesion that has the tendency for recurrence. In this report we present a case of a large multicystic ameloblastoma in the right parasymphysis-body region of the mandible in a 31-year-old man. The large lesion was diagnosed with the help of cone beam computed tomography and was successfully managed by hemi mandibulectomy with simultaneous reconstruction. The need for extending the surgical margins beyond the radiographic extension to prevent recurrence is highlighted.