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CASE REPORT
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 42-46

Maxillary ameloblastoma with lung metastasis: Case report of a rare tumor


1 Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
2 Department of Pathology, Hubert Kairuki Memorial University, Dar es Salaam, Tanzania
3 Department of Pathology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

Correspondence Address:
Karpal Singh Sohal
Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, P.O. Box: 65001, Dar es Salaam
Tanzania
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ccij.ccij_108_20

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Ameloblastomas are low-grade neoplasms of odontogenic epithelium that account for about 1% of all oral tumors and about 10% of odontogenic tumors. Rarely, these tumors have a potential of distance metastasis, and once they do metastasize, they are termed as metastatic ameloblastoma. This article aims at describing a case of a rare form of maxillary ameloblastoma that metastasized to the lung and challenges in its management in settings with limited resources. A 24-year-old African male presented with a massive swelling on the right side of the face for 2 years in 2018. He was previously operated on for a swelling on the right side of the maxilla in 2012, which was histologically diagnosed as ameloblastoma. Clinical and radiological evaluation revealed a massive maxillary tumor that had a local extension to the brain. X-ray and computed tomography (CT) scan of chest pointed out to metastatic mass in the lungs. Histology of the recurrent tumor mass revealed it to be follicular ameloblastoma, and CT-guided fine-needle aspiration cytology of the lung mass showed microscopic features of ameloblastoma similar to the primary jaw tumor.


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