Table 1: Malignant variants of odontogenic ameloblastoma behavior and evolution.
|
|
Case 1 |
Case 2 |
|
Location |
Left mandible |
Right mandible |
|
Ameloblastoma type |
Recurrences carcinoma |
Recurrences malign |
|
Tumor onset age (years) |
61 |
20 |
|
Age at end of follow-up |
77 |
43 |
|
Orthopantomography (mm) |
85 × 52 × 53 |
33 × 30 |
|
Dissected tumor size (mm) |
60 × 40 |
31 × 28 |
|
Hemimandibulectomy surgery (%) |
70 |
65 |
|
Histopathology |
Osteoclast-like giant cells, cortical destruction, nodular hemorrhage |
Granular tissue, dermal invasion, perineural invasion |
|
Recalls and surgeries |
3 |
4 |
|
Time of evolution since onset of tumor manifestation (years) |
17 |
23 |
|
Complementary treatments |
Chemotherapy 7 cycles (docetaxel/cisplatin) Radiotherapy 70 Grey/35 Fractions |
NA |
|
Recurrences and Tumor Activity “AT” (months) |
With TA 31 |
Without TA |
|
Prognosis |
Reserved for life with tumor activity |
Good evolution without tumor activity |
The third level hospital with 16 years as an institution, has only registered two cases of ameloblastic carcinoma.