Abstract
Ameloblastoma is the most common of the odontogenic tumors and it rarely exhibits malignant behavior with metastasis development. Here, we report the case of a 48-year-old patient. In 2001, the patient had been diagnosed with ameloblastoma, as confirmed by computed tomography and histopathology, and had undergone segmental hemimandibulectomy and reconstruction with rib graft. In 2007, the same patient again sought treatment, presenting with an extensive tumor involving the entire floor of the mouth. The patient was referred to a department of head and neck radiotherapy. The response to treatment was excellent, with remission of the lesion. One year later, a tumor was discovered in the left lung and was attributed to the ameloblastoma. The same radiotherapy strategy was adopted. The patient is under rigorous outpatient monitoring and is free of disease. The final considerations are justified by the effectiveness of radiation therapy for a benign tumor, eliminating mandibular recurrence and metastatic lung tumor.
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