Abstract
Ameloblastoma is an aggressive benign odontogenic tumor and its recurrence rates vary according to the different approaches. A 26-year-old black female patient was referred to the Stomatology Clinic in 2001 with swelling of the left mandibular body. Panoramic radiograph identified a unilocular area. Incisional biopsy revealed unicystic ameloblastoma. The lesion was subjected to marsupialization. The patient disappeared and returned in 2005 with multilocular area and enucleation of the lesion. New panoramic radiographs in 2008 showed no recurrence. The patient returns for annual follow-up, only presenting increased volume with multilocular radiolucent images in the same site after 8 years. Another biopsy showed the result of solid ameloblastoma. Marsupialization has been reported as a preliminary treatment of the unicystic ameloblastoma. However, the committment of the patient to the clinic is crucial, but it does not always happen. Semiannual or annual follow-up is necessary to diagnose the initial lesion and to perform less invasive treatments.
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