Brain invasion by a multi-recurrent ameloblastoma: A case report from the Yalgado Ouedraogo University Hospital (Burkina Faso)

Autor: Millogo Mathieu, Ouedraogo Richard Wend-Lasida, Idani Motandi, Ili Bévianda Vincent, Coulibaly Arsène, Ouedraogo Yamsoulgri Claudine Laétitia, Konsem Tarcissus
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Advances in Oral and Maxillofacial Surgery, Vol 4, Iss , Pp 100196- (2021)
Druh dokumentu: article
ISSN: 2667-1476
DOI: 10.1016/j.adoms.2021.100196
Popis: Introduction: Ameloblastoma is a benign odontogenic tumor with a controversial prognosis due to its potentially aggressive and recurrent evolution. We report a case of brain invasion by a multi-recurrent angulo-mandibular ameloblastoma. Objective: Report the therapeutic difficulties and evolutive surprises of multi-recurrent ameloblastoma through the study of a case of cerebral invasion and a review of the literature. Observation: K. S., a 34-year-old female patient was seen in consultation in 2009 for a histologically confirmed ameloblastoma of the right mandibular angle. Operated four times after three recurrences, the patient was seen 11 years after the first diagnosis, in a pattern of intracranial hypertension syndrome and CT scan revealed a homolateral endocranial expansive process. Operated in neurosurgery in 2020, the patient died in the postoperative period. The histology of the surgical specimen obtained confirmed the diagnosis of plexiform ameloblastoma. Conclusion: The benignity of multi-recurrent ameloblastoma must be nuanced. A radical surgical treatment does not exclude recurrences and secondary localizations.
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