Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report

Detalhes bibliográficos
Autor(a) principal: Lima, Gabriel Sousa
Data de Publicação: 2020
Outros Autores: Rodrigues, Cristóvão Marondes de Castro, Sol, Izabella, Almeida, Vinícius Lima de, Silva, Ricardo Pedro da, Reis, Danyella Carolyna Soares dos, Barbosa, Darceny Zanetta, Rocha, Flaviana Soares, Silva, Cláudia Jordão
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/9014
Resumo: Ameloblastoma is a benign odontogenic tumor of epithelial origin with slow, asymptomatic, rare growth and is associated with a high rate of recurrence, being responsible for 1% of mandibular tumors. There are several variations of these tumors, with solid / multicystic and unicystic types being the most recurrent. The signs are discrete and rarely noticed by the patient in the early stages. In the imaging examination, it presents itself as a well-delimited radiolucent image, which may be associated with the crown of an unerupted tooth, resorption of adjacent roots and vestibular-lingual medullary expansion. In the literature, the most appropriate treatment for the management of such pathology is still controversial, since there are conservative philosophies such as curettage, marsupialization (decompression) and defending currents of the radical surgical approach through resection with a safety margin. This study aims to report a case of curettage of follicular unicystic ameloblastoma with a single incidence of recurrence and treated again by means of a conservative surgical approach and continuing with a 19-year clinical preservation, without any clinical or imaging signs of recurrence.
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spelling Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case reportAbordaje quirúrgico asociado a la crioterapia del anneloblastoma mandibular uniquístico con seguimiento de 19 años - reporte de casoAbordagem cirúrgica associada à crioterapia de aneloblastoma mandibular unicístico com seguimento de 19 anos – relato de casoAmeloblastomaMandíbulaDescompressão cirúrgicaCuretagemTratamento conservador.AmeloblastomaMandibleSurgical descompressionCurettageConservative treatment.AmeloblastomaMandíbulaDescompresión quirúrgicaLegradoTratamiento conservador.Ameloblastoma is a benign odontogenic tumor of epithelial origin with slow, asymptomatic, rare growth and is associated with a high rate of recurrence, being responsible for 1% of mandibular tumors. There are several variations of these tumors, with solid / multicystic and unicystic types being the most recurrent. The signs are discrete and rarely noticed by the patient in the early stages. In the imaging examination, it presents itself as a well-delimited radiolucent image, which may be associated with the crown of an unerupted tooth, resorption of adjacent roots and vestibular-lingual medullary expansion. In the literature, the most appropriate treatment for the management of such pathology is still controversial, since there are conservative philosophies such as curettage, marsupialization (decompression) and defending currents of the radical surgical approach through resection with a safety margin. This study aims to report a case of curettage of follicular unicystic ameloblastoma with a single incidence of recurrence and treated again by means of a conservative surgical approach and continuing with a 19-year clinical preservation, without any clinical or imaging signs of recurrence.El ameloblastoma es un tumor odontogénico benigno de origen epitelial de crecimiento lento, asintomático, raro y se asocia a una alta tasa de recidiva, siendo responsable del 1% de los tumores mandibulares. Hay varias variaciones de estos tumores, siendo los tipos sólido / multiquístico y uniquístico los más recurrentes. Los signos son discretos y el paciente rara vez los nota en las primeras etapas. En el examen de imagen se presenta como una imagen radiolúcida bien delimitada, que puede estar asociada a la corona de un diente no erupcionado, reabsorción de raíces adyacentes y expansión medular vestibular-lingual. En la literatura, el tratamiento más adecuado para el manejo de dicha patología sigue siendo controvertido, ya que existen filosofías conservadoras como el curetaje, marsupialización (descompresión) y corrientes de defensa del abordaje quirúrgico radical mediante resección con margen de seguridad. Este estudio tiene como objetivo reportar un caso de legrado de ameloblastoma folicular uniquístico con una sola incidencia de recidiva y tratado nuevamente mediante abordaje quirúrgico conservador y continuando con una preservación clínica de 19 años, sin ningún signo clínico o imagenológico de recurrencia.O ameloblastoma é um tumor odontogênico benigno de origem epitelial com crescimento lento, assintomático, raro e está associado a alto índice de recorrência, sendo responsável por 1% dos tumores mandibulares. Existem várias variações desses tumores, sendo os tipos sólido / multicístico e unicístico os mais recorrentes. Os sinais são discretos e raramente percebidos pelo paciente nos estágios iniciais. No exame de imagem, apresenta-se como uma imagem radiolúcida bem delimitada, que pode estar associada à coroa de um dente não irrompido, reabsorção de raízes adjacentes e expansão medular vestíbulo-lingual. Na literatura, o tratamento mais adequado para o manejo dessa patologia ainda é controverso, visto que existem filosofias conservadoras como a curetagem, a marsupialização (descompressão) e as correntes de defesa da abordagem cirúrgica radical por ressecção com margem de segurança. O objetivo deste trabalho é relatar um caso de curetagem de ameloblastoma folicular unicístico com incidência única de recidiva e tratado novamente por meio de abordagem cirúrgica conservadora e continuando com preservação clínica de 19 anos, sem quaisquer sinais clínicos ou de imagem de recidiva.Research, Society and Development2020-10-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/901410.33448/rsd-v9i10.9014Research, Society and Development; Vol. 9 No. 10; e6409109014Research, Society and Development; Vol. 9 Núm. 10; e6409109014Research, Society and Development; v. 9 n. 10; e64091090142525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/9014/8023Copyright (c) 2020 Gabriel Sousa Lima; Cristóvão Marondes de Castro Rodrigues; Izabella Sol; Vinícius Lima de Almeida; Ricardo Pedro da Silva; Danyella Carolyna Soares dos Reis; Darceny Zanetta Barbosa; Flaviana Soares Rocha; Cláudia Jordão Silvahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima, Gabriel SousaRodrigues, Cristóvão Marondes de CastroSol, IzabellaAlmeida, Vinícius Lima deSilva, Ricardo Pedro daReis, Danyella Carolyna Soares dosBarbosa, Darceny ZanettaRocha, Flaviana SoaresSilva, Cláudia Jordão2020-10-31T12:03:23Zoai:ojs.pkp.sfu.ca:article/9014Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:31:21.790729Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
Abordaje quirúrgico asociado a la crioterapia del anneloblastoma mandibular uniquístico con seguimiento de 19 años - reporte de caso
Abordagem cirúrgica associada à crioterapia de aneloblastoma mandibular unicístico com seguimento de 19 anos – relato de caso
title Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
spellingShingle Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
Lima, Gabriel Sousa
Ameloblastoma
Mandíbula
Descompressão cirúrgica
Curetagem
Tratamento conservador.
Ameloblastoma
Mandible
Surgical descompression
Curettage
Conservative treatment.
Ameloblastoma
Mandíbula
Descompresión quirúrgica
Legrado
Tratamiento conservador.
title_short Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
title_full Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
title_fullStr Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
title_full_unstemmed Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
title_sort Surgical approach associated with cryotherapy of unicystic mandibular ameloblastoma with 19-year follow-up – a case report
author Lima, Gabriel Sousa
author_facet Lima, Gabriel Sousa
Rodrigues, Cristóvão Marondes de Castro
Sol, Izabella
Almeida, Vinícius Lima de
Silva, Ricardo Pedro da
Reis, Danyella Carolyna Soares dos
Barbosa, Darceny Zanetta
Rocha, Flaviana Soares
Silva, Cláudia Jordão
author_role author
author2 Rodrigues, Cristóvão Marondes de Castro
Sol, Izabella
Almeida, Vinícius Lima de
Silva, Ricardo Pedro da
Reis, Danyella Carolyna Soares dos
Barbosa, Darceny Zanetta
Rocha, Flaviana Soares
Silva, Cláudia Jordão
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lima, Gabriel Sousa
Rodrigues, Cristóvão Marondes de Castro
Sol, Izabella
Almeida, Vinícius Lima de
Silva, Ricardo Pedro da
Reis, Danyella Carolyna Soares dos
Barbosa, Darceny Zanetta
Rocha, Flaviana Soares
Silva, Cláudia Jordão
dc.subject.por.fl_str_mv Ameloblastoma
Mandíbula
Descompressão cirúrgica
Curetagem
Tratamento conservador.
Ameloblastoma
Mandible
Surgical descompression
Curettage
Conservative treatment.
Ameloblastoma
Mandíbula
Descompresión quirúrgica
Legrado
Tratamiento conservador.
topic Ameloblastoma
Mandíbula
Descompressão cirúrgica
Curetagem
Tratamento conservador.
Ameloblastoma
Mandible
Surgical descompression
Curettage
Conservative treatment.
Ameloblastoma
Mandíbula
Descompresión quirúrgica
Legrado
Tratamiento conservador.
description Ameloblastoma is a benign odontogenic tumor of epithelial origin with slow, asymptomatic, rare growth and is associated with a high rate of recurrence, being responsible for 1% of mandibular tumors. There are several variations of these tumors, with solid / multicystic and unicystic types being the most recurrent. The signs are discrete and rarely noticed by the patient in the early stages. In the imaging examination, it presents itself as a well-delimited radiolucent image, which may be associated with the crown of an unerupted tooth, resorption of adjacent roots and vestibular-lingual medullary expansion. In the literature, the most appropriate treatment for the management of such pathology is still controversial, since there are conservative philosophies such as curettage, marsupialization (decompression) and defending currents of the radical surgical approach through resection with a safety margin. This study aims to report a case of curettage of follicular unicystic ameloblastoma with a single incidence of recurrence and treated again by means of a conservative surgical approach and continuing with a 19-year clinical preservation, without any clinical or imaging signs of recurrence.
publishDate 2020
dc.date.none.fl_str_mv 2020-10-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/9014
10.33448/rsd-v9i10.9014
url https://rsdjournal.org/index.php/rsd/article/view/9014
identifier_str_mv 10.33448/rsd-v9i10.9014
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/9014/8023
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 10; e6409109014
Research, Society and Development; Vol. 9 Núm. 10; e6409109014
Research, Society and Development; v. 9 n. 10; e6409109014
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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