Abstract
Ameloblastic carcinoma is a rare malignant odontogenic neoplasm that exhibits histologic characteristics of ameloblastoma. The term "ameloblastic carcinoma" is used to describe those ameloblastomas in which there is histologic evidence of malignancy. In this report, we describe a case of a 41-year-old female patient who sought dental care complaining about the mobility of the right lower second premolar tooth. On intraoral examination, firm swelling that extended from the ipsilateral lateral incisor to the molar was observed. A panoramic radiography showed an osteolytic lesion with irregular margins with a "moth-eaten" aspect in the mandible. Incisional biopsy was performed, and the material was sent for histopathologic analysis, which revealed ameloblastic carcinoma. The patient was referred to the head and neck surgery service where mandibulectomy with neck dissection was performed. The patient is under clinical follow-up for 9 years without recurrence.
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