Surgical oncology and reconstructionAmeloblastic Fibrosarcoma of the Mandible: Treatment, Long-Term Follow-Up, and Subsequent Reconstruction of a Case
Section snippets
Case Report
In December 2002 a 36-year-old Hispanic woman presented to an indigent care dental clinic with a chief complaint of “pain in the lower left jaw.” Clinical examination showed Class II mobility of the left second molar, and panoramic and periapical radiographs were taken, which showed only some periodontal bone loss (Fig 1). At this time, the patient was referred for endodontic treatment on the left second molar. Over the next 4 months, the patient continued to have pain in the lower left
Discussion
AFS is a relatively rare odontogenic malignancy that is locally aggressive and has a reported recurrence rate of 37% and a mortality rate of up to 19%.2 To date, with the inclusion of this case, there have been only 72 reported cases in the English-language literature.2, 6, 7, 8, 9 The mean age of the reported cases is 30.5 years, with a range from 4 months to 78 years, and there is a relatively equal gender distribution. Approximately two-thirds of all cases arise from an ameloblastic fibroma,
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