Recurrent Ameloblastoma: Case Report

Öz

Ameloblastoma is a benign tumor that occurs in the jaw area. It is most commonly seen in the 20-50 age range. It involves the mandible more often than the maxilla and occurs in 80% of the mandibular molar region and ramus region. Ameloblastoma grows slowly and also tends to expand and destroy bone. In the current classification, ameloblastoma is divided into four groups as traditional, unicystic, extraosseous / peripheral and metastasizing. Ameloblastomas are non-encapsulated tumors and therefore infiltrate the surrounding tissue. This situation increases the risk of tumor recurrence. Therefore, marginal resection must be performed in large ameloblastoma cases. In this case, it is aimed to present the clinical and radiological features of a 67-year-old male patient, who had been operated in another center 33 years ago and has now recurred to large dimensions.

Anahtar Kelimeler

• Amelobastoma
• mandible
• recurrence

Tekrarlayan Ameloblastoma: Olgu Sunumu

Öz

Ameloblastoma, çene bölgesinde görülen bir benign tümördür. En sık 20-50 yaş aralığında izlenir. Mandibulayı maksilladan daha sık tutar ve %80 oranında mandibular molar bölge ve ramus bölgesinde ortaya çıkar. Ameloblastoma yavaş büyür, ayrıca kemikte ekspansiyon ve destrüksiyon yapma eğilimindedir. Güncel sınıflamada ameloblastoma geleneksel, unikistik, ekstraosseöz/periferal ve metastaz yapan olmak üzere dört gruba ayrılmıştır. Ameloblastomalar kapsülsüz tümörlerdir ve bu sebeple çevre dokuya infiltre olurlar. Bu durum ise tümörün rekürrens riskini artırmaktadır. Bu nedenle büyük ameloblastoma olgularında mutlaka marjinal rezeksiyon yapılması gerekmektedir. Bu olguda 67 yaşında erkek hastanın, 33 yıl önce başka bir merkezde opere edilen ve şimdi tekrarlayarak büyük boyutlara ulaşmış olan mandibular ameloblastoma vakasının klinik ve radyolojik özelliklerinin sunulması amaçlanmıştır.

Anahtar Kelimeler

• Ameloblastoma
• nüks
• mandibula

Kaynakça

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