Conservative Management Of Ameloblastoma In An Adolescent Patient

Introduction- Ameloblastoma is an aggressive, benign odontogenic tumour of the jaw with varying clinical features and histologic patterns. The treatment options of en block and segmental resection reduce the chance of recurrence. Resection of the mandible is associated with many complications like loss of jaw bone integrity, deformity, dysfunction, cosmetic and psychological distress. For these reasons, young, growing patients find these treatment options simply unacceptable. An alternative method for young growing patients is the conservative approach. Materials and methods- Enucleation and chemical cauterization of the lesion with carnoy's solution (6% ethanol, 3%chloroform, 1% acetic acid, 1 gm ferric chloride) followed by iodoform dressing routinely. Results- Patient was followed up for 1.5 year. No recurrence was noticed. Conclusion-In young growing patient a more conservative approach with close postoperative follow-up will significantly reduces the morbidity

Spindle-cell ameloblastic carcinoma of the maxilla with adenoid cystic carcinoma-like areas: A new variant.

Ameloblastic carcinoma is a rare aggressive malignancy of odontogenic epithelial origin. The disease has been reported to afflict people over a wide range of age group without any sex predilection. It is characterized by rapid growth and destruction of overlying bones along with involvement of adjacent soft tissues. The overall prognosis of this cancer is poor despite radical surgery and radiotherapy. Owing to the rarity of this lesion, complete data on the biological behavior and response to different treatment modalities are still lacking. The authors hereby report a case of this uncommon tumor arising from left maxilla in a 60-year-old Indian male. Histopathological examination of the tumor showed foci of spindling intermixed with large areas of tumor cells arranged in cribriform pattern and having luminal eosinophilic material which was reminiscent of adenoid cystic carcinoma. A final diagnosis was achieved after immunohistochemical study. These unusual findings prompted this case report.

Myopericytoma of lip: A rare lesion in an unusual location.

Myopericytoma is a rare benign tumor with perivascular myoid differentiation. It shares histomorpholoic features with the so-called hemangiopericytoma, myofi broma and glomus tumor. We hereby report the case of a 14-year-old boy who presented with a slowly growing, painless, fi rm mass on upper lip, diagnosed as myopericytoma on the basis of histopathology and immunohistochemistry. To the best of our knowledge, this is only the second such reported case.

Bilateral Petit’s Triangle Hernia

Lumbar traingle hernia that occurs through lumbar triangles is very rare type of hernia. Only about 300 cases have been reported till date. Bilateral Petit’s triangle hernia find further rarity and the case under reference is probably the first ever reported case of Primary bilateral Petit’s triangle hernia. The present case is of a 46 years old married, multigravida female who presented with 1 year duration of LBA and subsequently notice of swelling both sides of low back. FNAC revealed lipoma and on exploration it turned out to be rarest extra peritoneal bilateral Petit’s triangle hernia, fat as contents.