Imaging Science in Dentistry

  • 제43권3호
  • /
  • Pages.201-207
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  • 2013
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  • 2233-7822(pISSN)
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  • 2233-7830(eISSN)
대한영상치의학회 (Korean Academy of Oral and Maxillofacial Radiology)
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A repeatedly recurrent desmoplastic ameloblastoma after removal and allobone graft: Radiographic features compared with histological changes

  • Kim, Jae-Duk (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University) ;
  • Jang, Hyun-Seon (Department of Oral Pathology, School of Dentistry, Chosun University) ;
  • Seo, Yo-Seob (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University) ;
  • Kim, Jin-Soo (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University)
  • 투고 : 2013.03.30
  • 심사 : 2013.04.27
  • 발행 : 2013.09.30
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초록

A 40-year-old man suffered from a repeatedly recurrent desmoplastic ameloblastoma in the right maxillary anterior and premolar regions. During the first visit, the patient was provisionally histopathologically diagnosed with a developmental cyst, and it was confirmed to be unicystic ameloblastoma and resected. Four years later, the lesion recurred, and was diagnosed as a desmoplastic type of ameloblastoma and removed again. Then, 5 years after the second surgery, the lesion recurred again, and was diagnosed as a type containing a follicular pattern, recurrent ameloblastoma. A panoramic radiograph showed a multilocular and mixed radiolucent/radiopaque expansile lesion at the first visit, a unilocular cystic lesion confined to the premolar area at the second visit, and a small soap bubble appearance in the molar area in the final visit. Cone-beam computed tomographic images of the final recurrence of the tumor revealed multiple small cyst-like structures in the right maxillary anterior and posterior regions.

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