Desmoplastic Ameloblastoma: Case Report and review

Desmoplastic Ameloblastoma: A diagnostic Dilemma

Abstract

Desmoplastic Ameloblastoma is a rare histological variant of Ameloblastoma. Approximately 115 cases of desmoplastic Ameloblastoma have been reported so far in literature. The World Health Organization Classification of Head and Neck Tumors (WHO-2005) included desmoplastic Ameloblastoma as a variant of Ameloblastoma with specific clinical, image, and histological features in the year 2005. We have presented a case of desmoplastic ameloblastoma in the premolar region of mandible with its clinical and radiographical viewpoints. This case report focuses on a DA which occurred in the mandible of a 26 year-old female. The main signs and symptoms included painless swelling with buccal expansion. Panoramic and periapical radiographs and computed tomography demonstrated an image similar to a fibro-osseous lesion. The lower border of the mandible was intact, after an incisional biopsy was performed; the DA was given as diagnosis. A marginal resection, without involving the lower border of the mandible, was performed in the affected region .There were no post-operative complications. The patient is undergoing routine follow up.