A RARE CASE OF AMELOBLASTIC FIBROMA IN THE MAXILLA: A CASE REPORT

Babu G. V., Joanna Sancharita Biswas* and Shilpy Dwivedi

ABSTRACT

Ameloblastic fibroma (AF) is an extremely rare true mixed benign tumour that can occur either in the mandible or maxilla. It is believed to be a true mixed tumour, in which the epithelial and the ectomesenchymal elements are neoplastic. A 15-year-old girl had come to the department with a progressive swelling on the left side of her upper posterior jaw which occasionally bled. The swelling hindered occlusion and was fibrous in nature. Surgical excision of lesion was done under general anesthesia. Histopathologically, focal aggregates of lymphocytes were seen in stroma, suggestive of Ameloblastic Fibroma. Ameloblastic Fibroma enlarges by gradual expansion so that the periphery of the lesion often remains smooth. Conservative excision seems to be the treatment of choice. Large tumours may require a more aggressive approach, however. Ameloblastic fibroma is generally regarded as being less aggressive than the ameloblastoma, a feature which must be considered in the rational treatment and management of the patient with this tumour.

Keywords: Ameloblastic fibroma, Tumours of jaws, Conservative surgical excision, General anesthesia.