Ameloblastoma mandibular muy agresivo / Aggressive jaw ameloblastoma: report of one case

RESUMEN

Se presenta una paciente de sexo femenino con diagnóstico de ameloblastoma folicular que se comportó de manera extraordinariamente agresiva, considerando este tipo histológico, con recidiva extensa que requirió cirugía radical y reconstrucción con doble colgajo libre, y que a pesar de obtener márgenes negativos, presenta una nueva y más extensa recidiva, quedando fuera del alcance quirúrgico y falleciendo 11 meses luego de la última cirugía.

ABSTRACT

We report a female consulting for a lump in the posteroinferior portion of the mouth with a foul smelling discharge. A partial jaw excision is performed and pathology reported a follicular ameloblastoma. A post-operative CAT se an showed a mass in the operated jaw angle. The patient was lost from control and returned three years later with a large mass. A radical excision was performed. There was a tumor relapse and the patient died 11 months after the last surgery.