UNİKİSTİK AMELOBLASTOMA: OLGU SUNUMU

Öz

Ameloblastoma cinsiyet ayrımı gözetmeksizin genellikle genç yetişkinlerde izlenmektedir. Robinson ve Martinez tarafından 1977 yılında tanımlanan ve ameloblastomanın bir çeşidi olan unikistik ameloblas- toma, klinik ve radyolojik olarak odontojenik bir kistin özelliklerine sahipken; histopatolojik olarak kistik kavi- te luminal ve/veya mural tümoral proliferasyon izlenen ya da izlenmeyen ameloblastik epitel özelliğindedir. Tüm intraosseöz ameloblastomanın %5-15’ini oluştu- rur. Unikistik ameloblastoma solid yada multikistik tiplerine göre daha az agresif özellikte olup,  konser- vatif cerrahi işlemlerle yeterli tedavi sağlanmaktadır. Bu vaka raporunda, 46 yaşında kadın hastanın poste- rior maksiller bölgesinde lokalize unikistik ameloblas- tomanın enükleasyon sonrasındaki iki yıllık takibi sunulmaktadır.

Anahtar Kelimeler

• Unikistik Ameloblastoma
• Maksilla
• Kistik Lezyon
• Oroantral Fistül

UNICYSTIC AMELOBLASTOMA: A CASE REPORT

Öz

Unicystic ameloblastoma, a variant of ameloblastoma first described by Robinson and Martinez in 1977, refers to those cystic lesions that show clinical and radiologic characteristics of an odontogenic cyst but in histologic examination show a typical ameloblastomatous epithelium lining part of the cyst cavity, with or without luminal and/or mural tumor proliferation. It accounts for 5-15 % of all intraosseous ameloblastoma. Unicystic ameloblastoma is believed to be less aggressive and responds more favorably to conservative surgery than the solid or multicystic ameloblastomas. In this case report, we will present 2 years follow-up of a 46-year-old female with unicystic ameloblastoma in the posterior maxilla treated with enucleation

Anahtar Kelimeler

• Unicystic Ameloblastoma
• Maxilla
• Cystic Lesion
• Oroantral Fistula

Kaynakça

1. Robinson L, Martinez ameloblastoma: a prognostically distinct entity. Cancer. 1977;40:2278-85. MG. Unicystic
2. Hsu M-H, Chiang M-L, Chen J-K. Unicystic ameloblastoma, Journal of Dental Sciences 2013; http://dx.doi.org/10.1016/j.jds.2012.03.028: 1-5.
3. Ackermann GL, Altini M, Shear M. The unicystic ameloblastoma: a clinicopathological study of 57 cases. J Oral Pathol. 1988;17:541-6.
4. Bisinelli JC, Ioshii S, Retamoso LB, Moysés ST, Moysés SJ, Tanaka OM. Conservative treatment of unicystic ameloblastoma. Am J Orthod Dentofacial Orthop. 2010;137:396-400. HP, 5. Philipsen Reichart ameloblastoma. A review of 193 cases from the literature. Oral Oncol. 1998;34:317-25. Unicystic
5. Li TJ, Wu YT, Yu SF, Yu GY. Unicystic ameloblastoma: a clinicopathologic study of 33 Chinese patients. Am J Surg Pathol. 2000;24:1385- 92. 7. Reichart PA, Philipsen HP, Sonner S. Ameloblastoma: biological profile of 3677 cases. Eur J Cancer B Oral Oncol. 1995;31B:86-99.
6. Nimonkar PV, Nimonkar SV, Mandlekar GP, Borle RM, Gadbail AR. Ameloblastoma arising in a dentigerous cyst: Report of three cases. J Oral Maxillofac Surg Med Pathol. 2014; 26:233-237.
7. Pogrel MA, Montes DM. Is there a role for enucleation in the management of ameloblastoma? Int J Oral Maxillofac Surg. 2009;38:807-12.
8. Lee PK, Samman N, Ng IO. Unicystic ameloblastoma--use of Carnoy's solution after enucleation. Int J Oral Maxillofac Surg. 2004;33:263-7.

9. Rosenstein T, Pogrel MA, Smith RA, Regezi JA. Cystic ameloblastoma—behavior and treatment of 21 cases. J Oral Maxillofac Surg. 2001;59:1311-6.
10. Lau SL, Samman N. Recurrence related to treatment modalities of unicystic ameloblastoma: a systematic review. Int J Oral Maxillofac Surg. 2006;35:681-90.
11. Altundal H, Duygu G, Arslan AH. Unikistik ameloblastoma: Vaka raporu. Atatürk Üniv Diş Hek Fak Derg 2006;16:66-9.