Extenso ameloblastoma unicístico em mandíbula: relato de caso

  • Larissa Oliveira Ramos Silva Universidade Federal da Bahia
  • Elias Almeida dos Santos Universidade Federal da Bahia
  • Rafael Drummond Rodrigues Universidade Federal da Bahia
  • Alana Del'Arco Barboza Universidade Federal da Bahia
  • Jeferson Freitas Aguiar Universidade Federal da Bahia
  • Samário Cintra Maranhão Universidade Federal da Bahia
Palavras-chave: Ameloblastoma, Tumores Odontogênicos, Mandíbula

Resumo

Objetivo: Relatar um caso de Ameloblastoma Unicístico em região anterior de mandíbula, descrevendo os métodos diagnósticos utilizados e o tratamento empregado. Relato de Caso: Paciente do gênero feminino, 40 anos de idade, compareceu ao serviço de Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia da Universidade Federal da Bahia, com queixas de aumento de volume em região anterior de mandíbula, com evolução de 10 meses. O exame de imagem revelou lesão unilocular extensa que expandia cortical óssea em região de mento. Optou-se pela biópsia excisional da lesão, sob anestesia geral. O exame o espécime obtido confirmou o diagnóstico de Ameloblastoma Unicístico, para o qual decidiu-se pela manutenção da terapêutica inicial. A paciente segue em acompanhamento pela equipe, sem sinais de recidivas. Considerações Finais: O manejo do Ameloblastoma Unicístico por vezes demanda a biópsia excisional da lesão a fim de diferencia-la dos cistos odontogênicos e de individualizar seu padrão histológico. A abordagem conservadora pode ser adotada, desde que um acompanhamento rigoroso seja procedido.

Downloads

Não há dados estatísticos.

Referências

Chae MP, Smoll NR, Hunter-Smith DJ, Rozen WM. Establishing the natural history and growth rate of ameloblastoma with implications for management: systematic review and meta-analysis. PLoS One 2015; 10(2):e0117241.

McClary AC, West RB, McClary AC, Pollack JR, Fischbein NJ, Holsinger CF, et al. Ameloblastoma: a clinical review and trends in management. Eur Arch Oto-Rhino-Laryngology 2016; 273(7):1649-61.

Kalaiselvan S, Dharmesh Kumar Raja AV, Saravanan B, Vigneswari AS, Srinivasan R. “Evaluation of safety margin” in ameloblastoma of the mandible by surgical, radiological, and histopathological methods: an evidence-based study. J Pharm Bioallied Sci 2016; 8(Suppl 1):S122-5.

Apajalahti S, Kelppe J, Kontio R, Hagström J. Imaging characteristics of ameloblastomas and diagnostic value of computed tomography and magnetic resonance imaging in a series of 26 patients. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120(2):e118-30.

Wright JM, Vered M. Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Odontogenic and Maxillofacial Bone Tumors. Head Neck Pathol 2017; 11(1):68-77.

Kim J, Nam E, Yoon S. Conservative management (marsupialization) of unicystic ameloblastoma: literature review and a case report. Maxillofac Plast Reconstr Surg 2017; 39(1):38.

Giraddi GB, Arora K, Saifi AM. Ameloblastoma: a retrospective analysis of 31 cases. J oral Biol craniofacial Res 2017; 7(3):206-11.

Adel K El-Naggar, John KC Chan, Grandis JR, Takashi Takat, Slootweg PJ. World Health Organization Classification of Head and Neck Tumours. 4th ed. Lyon: IARC; 2017.

Acar AH, Yolcu Ü, Erdem NF, Asutay F. Is Conservative Surgical Treatment Sufficient to Treat Unicystic Mural Ameloblastoma in Infant? J Craniofac Surg 2015; 26(4):e297-9.

Anchlia S, Bahl S, Vyas S, Raju GSS. Unicystic plexiform ameloblastoma with mural proliferation: a full-blown lesion. BMJ Case Rep 2016; 2016:bcr2015212778.

Laborde A, Nicot R, Wojcik T, Ferri J, Raoul G. Ameloblastoma of the jaws: Management and recurrence rate. Eur Ann Otorhinolaryngol Head Neck Dis 2017; 134(1):7-11.

Kumar BS. Unicystic ameloblastoma of the mandible – report of two cases with review of literature. J Clin Diagnostic Res 2014; 8(5):7-9.

Chouinard AF, Peacock ZS, Faquin WC, Kaban LB. Unicystic Ameloblastoma Revisited: Comparison of Massachusetts General Hospital Outcomes With Original Robinson and Martinez Report. J Oral Maxillofac Surg 2017; 75(11):2369-78.

Lau SL, Samman N. Recurrence related to treatment modalities of unicystic ameloblastoma: a systematic review. Int J Oral Maxillofac Surg 2006; 35(8):681-90.

Gunawardhana KSND, Jayasooriya PR, Tilakaratne WM. Diagnostic dilemma of unicystic ameloblastoma: novel parameters to differentiate unicystic ameloblastoma from common odontogenic cysts. J Investig Clin Dent 2014; 5(3):220-5.

Siriwardena BSMS, Tennakoon TMPB, Hunter KD, Tilakaratne WM. Unicystic ameloblastoma: analysis of 370 cases in a single center in Sri Lanka. J Oral Pathol Med 2018; 47(7):706-9.

Bianchi B, Ferri A, Ferrari S, Leporati M, Copelli C, Ferri T, et al. Mandibular resection and reconstruction in the management of extensive ameloblastoma. J Oral Maxillofac Surg 2013; 71(3):528-37.

Effiom OA, Ogundana OM, Akinshipo AO, Akintoye SO. Ameloblastoma: current etiopathological concepts and management. Oral Dis 2018; 24(3):307-16.

Robinson L, Martinez MG. Unicystic ameloblastoma: a prognostically distinct entity. Cancer 1977; 40(5):2278-85.

Bhushan NS, Rao NM, Navatha M, Kumar BK. Ameloblastoma arising from a dentigerous cyst-a case report. J Clin Diagn Res 2014; 8(5):ZD23-5.

McClary AC, West RB, McClary AC, Pollack JR, Fischbein NJ, Holsinger CF, et al. Ameloblastoma: a clinical review and trends in management. Eur Arch Otorhinolaryngol 2016; 273(7):1649-61.

Mahajan AD, Manjunatha BS, Khurana NM, Shah N. Unicystic ameloblastoma arising from a residual cyst. BMJ Case Rep 2014; 2014:1-4.

Chaudhary Z, Pal U, Sangwan V, Sharma P. Unicystic ameloblastoma: a diagnostic dilemma. Natl J Maxillofac Surg 2011; 2(1):89.

Hammarfjord O, Roslund J, Abrahamsson P, Nilsson P, Thor A, Magnusson M, et al. Surgical treatment of recurring ameloblastoma, are there options? Br J Oral Maxillofac Surg 2013; 51(8):762-6.

Peacock ZS, Ji YD, Faquin WC. What is important for confirming negative margins when resecting mandibular ameloblastomas? J Oral Maxillofac Surg 2017; 75(6):1185-90.

Shi S, Liu Y, Shan Y, Fu T, Zhao S. Enucleation combined with peripheral ostectomy: Its role in the management of large cystic ameloblastomas of the mandible. J Cranio-Maxillofacial Surg 2014; 42(8):1659-63.

Sasaki R, Watanabe Y, Ando T, Akizuki T. Two stage enucleation and deflation of a large unicystic ameloblastoma with mural invasion in mandible. Craniomaxillofac Trauma Reconstr 2014; 7(2):139-42.

Publicado
2019-05-07
Como Citar
Silva, L., dos Santos, E., Rodrigues, R., Barboza, A., Aguiar, J., & Maranhão, S. (2019). Extenso ameloblastoma unicístico em mandíbula: relato de caso. Revista Da Faculdade De Odontologia - UPF, 24(1), 82-88. https://doi.org/10.5335/rfo.v24i1.8936
Seção
Artigos