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| CASE REPORT |
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| Year : 2019 |
Volume
: 30 | Issue : 6 | Page
: 960-963 |
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Recurrent ameloblastoma 24 years after hemimandibulectomy: A case report and review of literature
Saravanan Balasubramaniam, Balaji Jayaraman, Rohini Thirunavukkarasu, Arun Kumar Kamalakaran
Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, India
Correspondence Address:
Dr. Saravanan Balasubramaniam
Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai - 600 003, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijdr.IJDR_345_17
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Ameloblastoma is a benign, locally aggressive epithelial odontogenic tumor with a high recurrence rate. The management of ameloblastoma has always been controversial and an enigma to the surgeons. Literature suggests that 50% of the recurrences occur during first 5 years after the primary surgery, and the recurrence rate following a radical approach such as a segmental resection is 4.6%. The reasons for recurrence after a radical approach can be multifactorial such as remaining stumps, soft tissues, or intraoperative contamination. The purpose of this case report is to emphasize the fact that a recurrence even after 24 years is possible in spite of a radical segmental resection, and hence, a continuous follow-up of the patient is needed and to highlight the fact that the possibility of malignant ameloblastoma or ameloblastic carcinoma should be ruled out when dealing with such ameloblastomas recurring after a long period after a radical primary surgery.
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