RECURRENCE OF MANDIBULAR AMELOBLASTOMA AFTER 20 YEARS: A CASE REPORT

Abstract

Ameloblastoma of the mandible is a common benign and locally invasive tumor of odontogenic epithelial origin. Ameloblastoma is characterized by its locally aggressive and lytic nature of expansion. It mostly involves the posterior mandible in elderly patients. The treatment is always surgical and is based on the histopathological nature and extent of the lesion. The conservative surgical approach is associated with high recurrence rate. The recurrence have been reported in mostly with in ten years after the surgical management and about 70% cases of recurrence are reported with in first five years of surgery.This case of a 65 years old lady presented with progressive mandibular swelling. On history taking she revealed previous surgery of jaw almost 20 years back. Her previous record of documents showed histopathology of ameloblastoma. When incisional biopsy was done the case was reported again of ameloblastoma. The case is reported here as recurrent case of ameloblastoma after 20 years of its management, which may be considered the longest time of recurrence in our context.