Adenoid Ameloblastoma: The Newly Recognized Odontogenic Tumor - A Case Report.
Ondina Karla Mousinho Rocha TorresNatália Rodrigues SilvaCaio César da Silva BarrosGuilherme de Carvalho WanderleyOlavo Hoston Gonçalves PereiraMárcia Cristina da Costa MiguelPublished in: Head and neck pathology (2024)
Adenoid ameloblastoma is a newly recognized epithelial odontogenic tumor. Herein, we present the case of a 24-year-old male patient who exhibited swelling in the anterior region and right hemi-mandible. Computed tomography demonstrated the presence of a hypodense osteolytic lesion associated with an impacted tooth. Based on the clinical hypotheses of the dentigerous cyst, odontogenic keratocyst, and ameloblastoma, an incisional biopsy was performed, and the diagnosis of ameloblastoma was rendered. A surgical resection of the tumor was performed. Histopathological examination of the specimen revealed typical areas of ameloblastoma associated with ductiform structures and cell proliferation in a solid storiform pattern, features resembling those found in adenomatoid odontogenic tumor. Based on these findings, the diagnosis of adenoid ameloblastoma was rendered. The accurate diagnosis of this locally infiltrative tumor is essential due to its similarity to other odontogenic neoplasms.