Diagnosis and treatment of the unicystic ameloblastoma

• Published in: International journal of oral and maxillofacial surgery Vol. 15; no. 6; pp. 759 - 764
• Main Authors: Isacsson, Göran, Andersson, Lars, Forsslund, Hans, Bodin, Ingrid, Thomsson, Mats
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ltd 01.12.1986; Elsevier
• Subjects: Adolescent; Adult; ameloblastoma; Ameloblastoma - diagnosis; Ameloblastoma - pathology; Biological and medical sciences; Dentistry; Facial bones, jaws, teeth, parodontium: diseases, semeiology; Female; Humans; Male; Mandibular Neoplasms - diagnosis; Mandibular Neoplasms - pathology; Medical sciences; Neoplasm Recurrence, Local; odontogenic; Otorhinolaryngology. Stomatology; tumor; odontogenic; tumor; ameloblastoma; Human; Curettage; Adamantinoma; Exeresis; Stomatology; Surgery; Maxillary; Maxillofacial; Diagnostic; Tumor
• ISSN: 0901-5027; 1399-0020
• DOI: 10.1016/S0300-9785(86)80119-3

Two cases of unicystic ameloblastoma are presented. The lesions were pain-free and expanded the mandible. They were removed by curretage. Recurrent lesions had similar clinical appearances and histological pictures compared to the original lesions. The unicystic ameloblastoma manifested itself as a cystic cavity without solid neoplastic features, which differs from the solid ameloblastoma with regard to the age of the patients and the rate of recurrence. The behavior of the unicystic ameloblastoma was similar to that of the primordial cyst. Despite the obvious risk of recurrence, conservative treatment with enucleation and curretage seemed to be justified in preference to mutilating radical surgery.