Desmoplastic Ameloblastoma: A Report of Two Cases
Desmoplastic ameloblastoma has been characterised by WHO as a variant of ameloblastoma with specific clinical, radiographic and histological features. Presenting clinically as an asymptomatic swelling with a mixed radiographic appearance, these lesions are most often misdiagnosed as fibro-osseous lesions. The recurrence rate of these lesions is found to be equal to or higher than the solid multicystic ameloblastoma unlike other variants like the unicystic ameloblastoma or peripheral ameloblastoma which have a much lower recurrence rate. The infiltrative nature of this variant demands a radical surgical approach as recurrence rate has been found to be higher in cases treated with enucleation and curettage. This case report and review aim to highlight the pathologic and diagnostic aspects of desmoplastic ameloblastoma aiding in its timely diagnosis and apt treatment.
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