Dr. Syamala Reddy Dental College, Hospital and Research Center, Munnekolala, Marathalli, Bangalore, India
Abstract: (2046 Views)
Malignant transformation of ameloblastomas arising from an odontogenic cyst or de novo is wellrecognized. Malignancies in ameloblastomas may involve metastasis or a local dysplastic change in the tissue. The latter are classified as ameloblastic carcinomas. A 75-year-old male presented with a mandibular cystic swelling, with no evidence of metastasis. Dysplastic ameloblastic cells with spindlecell transformation were seen arising from a cystic lining with features of a unicystic ameloblastoma. Immunohistochemically the lesion stained positive with cytokeratin 8,19 and alpha smooth muscle actin, but was negative for vimentin. A diagnosis of spindle-cell ameloblastic carcinoma was made. Spindle-cell ameloblastic carcinomas are rare and this is the second case arising from a unicystic ameloblastoma reported in literature. The recognition of this transformation and inclusion of this entity in the classification of ameloblastic carcinomas is stressed.
V. Kamath V, Satelur K, Yerlagudda K. Spindle cell variant of ameloblastic carcinoma arising from an unicystic amelobastoma: Report of a rare case. 3 2012; 4 (4) URL: http://idai.ir/article-1-717-en.html