Author/Authors :
Borja de Freitas, George Department of Oral Pathology - Sao Leopoldo Mandic Institute and Research Center, Campinas, SP, Brazil , Pedroza de Andrad, Evelyne Department of Oral Pathology - Sao Leopoldo Mandic Institute and Research Center, Campinas, SP, Brazil , Frota Sá Nogueira Neves, Riedel Department Maxillofacial Surgery - Hospital Getulio Vargas, Recife, PE, Brazil , Torres dos Santos, Stefanny Department Maxillofacial Surgery - Hospital Getulio Vargas, Recife, PE, Brazil , Cristina da Costa Araújo, Daniella Department Maxillofacial Surgery - Hospital Getulio Vargas, Recife, PE, Brazil , Ângelo Montalli, Victor Department of Oral Pathology - Sao Leopoldo Mandic Institute and Research Center, Campinas, SP, Brazil
Abstract :
Unicystic ameloblastoma is an odontogenic tumor that affects mainly young patients and usually involves the posterior region of
the mandible. In this article, we report on the case a 12-year-old girl presenting with an 8-month history of facial swelling in her
lower right quadrant. Radiographic examination revealed a unilocular radiolucent lesion extending from the body of the
mandible through to the angle and ascending ramus. An incisional biopsy was performed, and a diagnosis of luminal unicystic
ameloblastoma was made based on clinicopathological features. The lesion was treated in two stages, namely, an initial
conservative approach via decompression and subsequent excision. The patient has been followed up for 6 months without
clinical and radiographic evidence of recurrence. In conclusion, conservative timely intervention combined with a conservative
surgical approach has proven efficacious in the treatment of ameloblastoma in this young patient.