ABSTRACT
Ameloblastic fibroma is a rare, slow-growing benign mixed odontogenic tumor. It constitutes 2% of odontogenic tumors and is reported to occur at an age ranging from 6 months to 42 years. The youngest being a 7-week-old infant. We report a case of peripheral ameloblastic fibroma in a 2-week-old infant. The lesion presented since birth. It involved the maxilla with an extraosseous component involving the gingiva. A more or less conservative surgical approach of enucleation and curettage of the lesion was done under general anesthesia, trying to conserve the adjacent tooth buds. Only a few cases of congenital peripheral ameloblastic fibroma have been reported so far.
Subject(s)
Maxillary Neoplasms/congenital , Maxillary Neoplasms/surgery , Odontogenic Tumors/congenital , Odontogenic Tumors/surgery , Diagnosis, Differential , Diagnostic Imaging , Female , Humans , Infant, NewbornABSTRACT
Although orodental anomalies have been reported to occur in patients with oculoauriculovertebral spectrum, no previous publications in the English literature have been located that describe an ameloblastic fibroma in a patient with this condition. This report presents a 15-month-old female monozygotic twin with concomitant oculoauriculovertebral spectrum and a congenital ameloblastic fibroma of the mandible. A theory linking the pathogenesis of the two conditions is also raised.
Subject(s)
Goldenhar Syndrome/complications , Mandibular Neoplasms/congenital , Odontogenic Tumors/congenital , Diseases in Twins , Female , Goldenhar Syndrome/genetics , Humans , Infant , Mandibular Neoplasms/complications , Mandibular Neoplasms/genetics , Odontogenic Tumors/complications , Odontogenic Tumors/geneticsABSTRACT
Many questions concerning heritability arise when a veterinarian is asked to supervise and treat disease of congenital origin. Genetic counseling, ethics, and legality are often confronted in discussions between animal health professionals and laymen in animal industry. Guidelines have been offered as in the 1984 statement of the Judicial Council of the American Veterinary Medical Association: "Performance of surgical procedures in all species for the purpose of concealing genetic defects in animals to be shown, raced, bred, or sold as breeding animals is unethical. However, should the health or welfare of the individual patient require correction of such genetic defects, it is recommended that the patient be rendered incapable of reproduction." The Australian Veterinary Law, Ethics, Etiquette and Convention declares it fraud to alter a defect for sale purposes and unethical for a veterinarian to perform such treatments. It is permissible to correct defects causing discomfort or inconvenience, but the veterinarian is required to advise appropriate breeding counseling. Genetic counseling has progressed significantly in human medicine. This has been supported by better diagnostic methods for genetic disorders, greater acceptance of preventive measures, and extended screening programs to identify carriers of specific abnormal genes or chromosomal aberrations. Congenital diseases in veterinary medicine are constantly under investigation. The veterinary practitioner must continue to operate with an appreciation of the incomplete understanding of most of these abnormalities and act in accordance with personal ethical judgment and the guidance of the American Veterinary Medical Association when treating the affected individual animal patient.
Subject(s)
Head/abnormalities , Horse Diseases/congenital , Ameloblastoma/congenital , Ameloblastoma/veterinary , Animals , Choanal Atresia/diagnosis , Choanal Atresia/surgery , Choanal Atresia/veterinary , Cleft Palate/surgery , Cleft Palate/veterinary , Cysts/congenital , Cysts/veterinary , Dentigerous Cyst/congenital , Dentigerous Cyst/veterinary , Female , Horses , Male , Mandible/abnormalities , Nasal Septum/abnormalities , Odontogenic Tumors/congenital , Odontogenic Tumors/veterinary , Paranasal Sinus Diseases/congenital , Paranasal Sinus Diseases/veterinary , Pharyngeal Diseases/congenital , Pharyngeal Diseases/veterinarySubject(s)
Gingival Neoplasms , Odontogenic Tumors , Cell Transformation, Neoplastic , Child, Preschool , Diagnosis, Differential , Female , Gingival Neoplasms/congenital , Gingival Neoplasms/diagnosis , Gingival Neoplasms/pathology , Granuloma, Giant Cell/congenital , Granuloma, Giant Cell/diagnosis , Humans , Maxillary Neoplasms , Odontogenic Tumors/congenital , Odontogenic Tumors/diagnosis , Odontogenic Tumors/pathologyABSTRACT
The case of a newborn girl with two mandibular incisor natal teeth and bilateral mandibular odontogenic harmartomas is presented. The hamartomas were evident as pedunculated masses on the posterior mandibular gum pads. The natal teeth were extracted at birth, and the hamartomas were excised at 5 months of age. Microscopic investigation of the hamartoma demonstrated the presence of all odontogenic tissues with the exception of an enamel organ. In addition, there was a strong family history of natal teeth, which may suggest a hereditary basis for the development of the odontogenic hamartoma.
Subject(s)
Gingival Neoplasms/congenital , Incisor , Mandibular Neoplasms/congenital , Natal Teeth , Neoplasms, Multiple Primary/congenital , Odontogenic Tumors/congenital , Tooth, Deciduous , Female , Hamartoma/congenital , Humans , Infant , Infant, NewbornABSTRACT
The authors present a case of odontogenic tumour occuring at birth. Its origin seems to be an early modification of the ectomesenchyme. The course of the disease may be followed by lines within the dentin traced by courses of tetracycline during the first few years of life.