Ameloblastic Fibroma
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| What are the clinical features of ameloblastic fibroma? | Ameloblastic fibroma is an asymptomatic benign neoplasm with epithelium and mesenchyme proliferation. The lesion can be seen radiographically, move adjacent teeth and expand the cortex.
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| What are the demographic features of ameloblastic fibroma? | Ameloblatic fibroma is a rare lesion, it does have a slight male predilection and occurs in young patients, the first two decades. The most common location is posterior mandible (70%) and pericoronal to an unerupted tooth (75%).
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| How would you describe an ameloblastic fibroma lesion? | Ameloblastic fibroma is a benign neoplasm. Radiographically, it appears as a well demarcated, unilocular (mostly) radiolucency with a thin sclerotic rim. It can expand the cortex and move adjacent teeth. There are NO calcifications within the lesion.
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| What are the histologic features of ameloblastic fibroma (AF)? | AF contains primitive mesenchymal tissue and immature stroma. Fibrous portion: large, stellate, spindled nuclei with mild-moderate cellularity. Epithelial portion: double-layered strands of cuboidal odontogenic epithelium and ameloblastoma-like islands.
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| What would you include in the differential diagnosis for ameloblastic fibroma? | The differential diagnoses for ameloblastic fibroma include: dentigerous cyst, odontogenic keratocyst, and orthokeratinized odontogenic cyst.
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| What is the treatment for ameloblastic fibroma? | The treatment for amelobalstic fibroma is surgical removal or curettage. With curettage treatment only, there is a 40% risk of recurrence.
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emma.carpenter
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