Ameloblatoma: An aggressive odontogenic neoplasm with altered vickers and gorlin criteria

Abstract

Plexiform ameloblastoma is a rare aggressive odontogenic neoplasm comprising about 1% of all odontogenic lesions of the jaw arising from cells of enamel organ that has failed to differentiate to form the hard tissues of tooth. Clinically, Ameloblastoma presents as painless swelling of jaw occurring in 3 and 4 decade in the posterior region of the mandible with equal sex distribution. It shows multiple patterns including solid, unicystic, extra osseous and desmoplastic type. Due to its varied presentation and relative risk of recurrence, it possesses a great challenge to physician for early diagnosis. Vickers and Gorlin (V and G) criteria is an integral part of diagnosis of histological types of Ameloblastoma. This article aims to highlight the variations observed in V and G criteria in the histopathological features of mixed variety of Ameloblastoma in a middle aged man.