Management considerations of ameloblastic carcinoma in soft-tissue: case report and literature review.
Padmaraj Hegde, Kritharth Sujith, Lida Mary Nidhin Philip
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Case in brief
A 36-year-old woman with a history of mandibular ameloblastoma underwent segmental mandibulectomy and reconstruction. Three years later, she presented with a submental swelling, which was initially diagnosed as recurrent follicular ameloblastoma. However, further histopathological analysis post-surgery revealed ameloblastic carcinoma. The patient received complete excision and neck dissection, and is under close surveillance for potential adjuvant therapy.
Diagnostic / clinical pearl
Clinicians should be aware that ameloblastic carcinoma can arise from previously treated ameloblastoma, presenting as soft-tissue recurrence and complicating management.
Why it matters
This case highlights the importance of thorough histopathological evaluation in cases of recurrent ameloblastoma, as malignant transformation can occur, necessitating a comprehensive treatment approach.