A case report on “Ameloblastic carcinoma: A secondary aggressive odontogenic neoplasm”
Keywords:Ameloblastic carcinoma, odontogenic tumor, pre-existing ameloblastoma, pre-existing benign odontogenic cyst, malignant ameloblastoma
Ameloblastic carcinoma is a rare aggressive odontogenic neoplasm which was initially an ameloblastoma or an odontogenic cyst and then undergone malignant transformation. Ameloblastic carcinoma accounts for 2% of all the odontogenic tumors. Identifying a secondary type of Ameloblastic carcinoma with typical histologic features of malignant transformation is difficult to diagnose and remains a rarity. Here we report a case of a male patient of age 85 years with typical clinical findings for ameloblastomic carcinoma with its typical clinical and histopathological features and it’s surgical procedure. This case resembles squamous cell carcinoma of alveolus and osteomyelitis. The diagnosis is based on the detailed history of the patient followed by the clinical findings and suitable radiographs and finally the microscopic evaluation. Wide surgical excision with adjunctive radiation is the treatment of choice. The risk of recurrence is very high and prognosis remains poor
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