Malignant peripheral ameloblastoma arising from the gingiva: A case report

J. Saleh, Laura Malone, J. Papadimitriou
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Abstract

Ameloblastomas account for 9%-11% of all odontogenic tumors and usually arise from the mandible. Peripherally arising ameloblastomas are exceedingly rare, comprising 1%-2% of all ameloblastomas. We present a case of peripheral ameloblastoma with malignant differentiation in a 72-year-old male patient. The patient underwent a biopsy of the left palatoglossal fold, and histological examination of the specimen demonstrated a well differentiated squamous cell carcinoma in situ with at least superficially invasive growth and features suggestive of peripheral ameloblastic carcinoma. The patient chose radiation therapy as opposed to surgical excision.
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牙龈引起的恶性外周成釉细胞瘤1例
成釉细胞瘤占所有牙源性肿瘤的9%-11%,通常起源于下颌骨。外周形成的成釉细胞瘤极为罕见,占所有成釉细胞瘤的1%-2%。我们报告一例周围成釉细胞瘤与恶性分化在一个72岁的男性患者。患者接受了左侧腭舌襞活检,标本的组织学检查显示为原位分化良好的鳞状细胞癌,至少具有表面浸润性生长,特征提示周围成釉细胞癌。病人选择了放射治疗而不是手术切除。
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