Abstract :
Desmoplastic ameloblastoma is a rare histological variant of ameloblastoma, comprising a small percentage of all cases. It differs from conventional ameloblastoma by its unique histopathology and radiological appearance, typically affecting the anterior maxilla. Recurrence is uncommon but clinically significant due to its locally aggressive nature and tendency for ill-defined borders. The present case describes a patient who experienced recurrence in the maxilla after conservative excision in the same site 25 years ago. The patient now presents with a slowly enlarging, painless swelling in the left maxillary region for the past 12 years. Clinical examination revealed a firm, painless swelling with vestibular obliteration in the left maxilla. Radiographic imaging showed a poorly defined, mixed radiolucent-radiopaque lesion involving the left maxilla with extension toward the nasal fossa. Histopathology confirmed desmoplastic ameloblastoma. This case underscores the importance of early recognition, appropriate imaging, complete surgical excision, and regular long-term follow-up.
Keyword :
Desmoplastic ameloblastoma, Recurrent, Odontogenic tumor, Maxilla