Desmoplastic ameloblastoma: a systematic review of the cases reported in the literature
2020 (English)In: International Journal of Oral and Maxillofacial Surgery, ISSN 0901-5027, E-ISSN 1399-0020, Vol. 49, no 6, p. 709-716Article, review/survey (Refereed) Published
Abstract [en]
The purpose was to integrate the available data published on desmoplastic ameloblastoma (DA) into a comprehensive analysis of its clinical/radiographic features. As it is not clear if the hybrid ameloblastoma has a unique biological behavior, the clinical/radiographic features of conventional DA with the hybrid variant were compared. An electronic search was undertaken in May/2019. Eligibility criteria included publications having enough clinical/radiographic/histological information to confirm the diagnosis. 128 publications reporting 285 DAs were included (246 central non-hybrid, 33 central hybrid, 6 peripheral). There was a statistically significant difference between non-hybrid and hybrid cases concerning lesion location, radiographic limits and size. In contrast to non-hybrid tumors that showed similar distribution in mandible and maxilla, a highly predominant mandible location was observed in the hybrid tumors. Also, non-hybrid lesions more often showed ill-defined radiographic margins, and were larger tumors than hybrid DAs. Enucleation with an additional therapy (either curettage or peripheral osteotomy) or resection led to a lower recurrence risk in comparison to curettage or enucleation without additional therapy. Location of the lesion and type of treatment are related to tumor recurrence. There are important differences in location and radiographic limits between hybrid and non-hybrid DAs, which support their classification as distinct lesions.
Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 49, no 6, p. 709-716
Keywords [en]
Desmoplastic ameloblastoma, Odontogenic tumors, Clinical features, Radiographic features, Hybrid lesion, Recurrence rate, Head and neck tumors, Benign neoplasms
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-1030DOI: 10.1016/j.ijom.2019.11.004ISI: 000540371900003PubMedID: 31810564Scopus ID: 2-s2.0-85076218636Local ID: 30575OAI: oai:DiVA.org:mau-1030DiVA, id: diva2:1397711
2020-02-272020-02-272024-06-17Bibliographically approved