Giant ameloblastoma of the mandible

Ameloblastoma is a benign odontogenic tumor characterized by slow, asymptomatic growth and local aggressiveness. We report a case of a 24-year-old female with a gradually enlarging, painless swelling on the left side of her mandible over 3 years. Imaging revealed a 12 × 8 cm multilocular radiolucent...

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Main Authors: Pranjal Rai, MD, Fabien Necker, MD, Animesh Awadhiya, MBBS, Joe Joseph, MD, Dhairya A. Lakhani, MD
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325005254
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author Pranjal Rai, MD
Fabien Necker, MD
Animesh Awadhiya, MBBS
Joe Joseph, MD
Dhairya A. Lakhani, MD
author_facet Pranjal Rai, MD
Fabien Necker, MD
Animesh Awadhiya, MBBS
Joe Joseph, MD
Dhairya A. Lakhani, MD
author_sort Pranjal Rai, MD
collection DOAJ
description Ameloblastoma is a benign odontogenic tumor characterized by slow, asymptomatic growth and local aggressiveness. We report a case of a 24-year-old female with a gradually enlarging, painless swelling on the left side of her mandible over 3 years. Imaging revealed a 12 × 8 cm multilocular radiolucent lesion with cortical thinning and perforation, extending from the premolar to the angle of the mandibular ramus. Differential diagnoses included odontogenic keratocyst, dentigerous cyst, and other radiolucent mandibular lesions, and histopathological analysis confirmed a solid/multicystic ameloblastoma. The patient underwent segmental mandibulectomy with immediate reconstruction using a free fibular flap. Postoperative recovery was uneventful, and no recurrence was observed during one year of follow-up. This case highlights the importance of early recognition of asymptomatic jaw swellings, integration of imaging and histology for diagnosis, and radical surgical management for extensive lesions. Prompt intervention can reduce morbidity and optimize long-term outcomes in young patients.
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series Radiology Case Reports
spelling doaj-art-ea85bd588abf4bd28a3b51f3bc980c2b2025-07-13T04:54:01ZengElsevierRadiology Case Reports1930-04332025-09-0120946004603Giant ameloblastoma of the mandiblePranjal Rai, MD0Fabien Necker, MD1Animesh Awadhiya, MBBS2Joe Joseph, MD3Dhairya A. Lakhani, MD4Department of Radiology, Tata Memorial Hospital, Mumbai, India; Corresponding author.Digital Anatomy Lab, Institute for Functional and Clinical Anatomy, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, GermanyDepartment of Radiology, Tata Memorial Hospital, Mumbai, IndiaDepartment of Neuroradiology, West Virginia University, Morgantown, WV, USADepartment of Neuroradiology, West Virginia University, Morgantown, WV, USAAmeloblastoma is a benign odontogenic tumor characterized by slow, asymptomatic growth and local aggressiveness. We report a case of a 24-year-old female with a gradually enlarging, painless swelling on the left side of her mandible over 3 years. Imaging revealed a 12 × 8 cm multilocular radiolucent lesion with cortical thinning and perforation, extending from the premolar to the angle of the mandibular ramus. Differential diagnoses included odontogenic keratocyst, dentigerous cyst, and other radiolucent mandibular lesions, and histopathological analysis confirmed a solid/multicystic ameloblastoma. The patient underwent segmental mandibulectomy with immediate reconstruction using a free fibular flap. Postoperative recovery was uneventful, and no recurrence was observed during one year of follow-up. This case highlights the importance of early recognition of asymptomatic jaw swellings, integration of imaging and histology for diagnosis, and radical surgical management for extensive lesions. Prompt intervention can reduce morbidity and optimize long-term outcomes in young patients.http://www.sciencedirect.com/science/article/pii/S1930043325005254AmeloblastomaOdontogenic tumorsBone tumorsMandibular neoplasmsJaw reconstruction
spellingShingle Pranjal Rai, MD
Fabien Necker, MD
Animesh Awadhiya, MBBS
Joe Joseph, MD
Dhairya A. Lakhani, MD
Giant ameloblastoma of the mandible
Radiology Case Reports
Ameloblastoma
Odontogenic tumors
Bone tumors
Mandibular neoplasms
Jaw reconstruction
title Giant ameloblastoma of the mandible
title_full Giant ameloblastoma of the mandible
title_fullStr Giant ameloblastoma of the mandible
title_full_unstemmed Giant ameloblastoma of the mandible
title_short Giant ameloblastoma of the mandible
title_sort giant ameloblastoma of the mandible
topic Ameloblastoma
Odontogenic tumors
Bone tumors
Mandibular neoplasms
Jaw reconstruction
url http://www.sciencedirect.com/science/article/pii/S1930043325005254
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