Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasis

Pulmonary metastasis of ameloblastoma is a rare associated with the histopathologically plexiform types of ameloblastoma. In this report, we present an exceptionally rare case of pulmonary metastatic ameloblastoma without local recurrence, emerging 12 years post-initial resection. A female patient,...

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Main Authors: Takaaki Kamatani, Ryogo Katada, Masataka Watanabe, Tatsuo Shirota
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024165668
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author Takaaki Kamatani
Ryogo Katada
Masataka Watanabe
Tatsuo Shirota
author_facet Takaaki Kamatani
Ryogo Katada
Masataka Watanabe
Tatsuo Shirota
author_sort Takaaki Kamatani
collection DOAJ
description Pulmonary metastasis of ameloblastoma is a rare associated with the histopathologically plexiform types of ameloblastoma. In this report, we present an exceptionally rare case of pulmonary metastatic ameloblastoma without local recurrence, emerging 12 years post-initial resection. A female patient, initially diagnosed with mandibular desmoplastic ameloblastoma, revealed masses in both lung fields of the lung on chest radiography, while chest computed tomography revealed more than 10 nodules in both lungs. Histopathological analysis of a lung biopsy specimen revealed a nest-like structure of tumor cells surrounded by highly columnar cells, exhibiting a palisade-like arrangement, and squamous metaplasia.Subsequently, the diagnosis of pulmonary metastatic ameloblastoma was confirmed through immunohistochemical examination. Despite clinical trial treatment with molecular targeted therapy for three years, the lung disease remained clinically stable. This case highlights the need for oral surgeons to recognize that pulmonary metastasis of desmoplastic ameloblastoma can manifest as a late recurrence, extending beyond a decade after initial curative surgery.
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publishDate 2024-12-01
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series Heliyon
spelling doaj-art-d37b68c274704fa9b8096c3d295a66b82024-12-13T10:58:57ZengElsevierHeliyon2405-84402024-12-011023e40535Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasisTakaaki Kamatani0Ryogo Katada1Masataka Watanabe2Tatsuo Shirota3Corresponding author.; Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry, Tokyo 145-8515, JapanDepartment of Oral and Maxillofacial Surgery, Showa University School of Dentistry, Tokyo 145-8515, JapanDepartment of Oral and Maxillofacial Surgery, Showa University School of Dentistry, Tokyo 145-8515, JapanDepartment of Oral and Maxillofacial Surgery, Showa University School of Dentistry, Tokyo 145-8515, JapanPulmonary metastasis of ameloblastoma is a rare associated with the histopathologically plexiform types of ameloblastoma. In this report, we present an exceptionally rare case of pulmonary metastatic ameloblastoma without local recurrence, emerging 12 years post-initial resection. A female patient, initially diagnosed with mandibular desmoplastic ameloblastoma, revealed masses in both lung fields of the lung on chest radiography, while chest computed tomography revealed more than 10 nodules in both lungs. Histopathological analysis of a lung biopsy specimen revealed a nest-like structure of tumor cells surrounded by highly columnar cells, exhibiting a palisade-like arrangement, and squamous metaplasia.Subsequently, the diagnosis of pulmonary metastatic ameloblastoma was confirmed through immunohistochemical examination. Despite clinical trial treatment with molecular targeted therapy for three years, the lung disease remained clinically stable. This case highlights the need for oral surgeons to recognize that pulmonary metastasis of desmoplastic ameloblastoma can manifest as a late recurrence, extending beyond a decade after initial curative surgery.http://www.sciencedirect.com/science/article/pii/S2405844024165668Desmoplastic ameloblastomaPulmonary metastasisLungMalignant ameloblastoma
spellingShingle Takaaki Kamatani
Ryogo Katada
Masataka Watanabe
Tatsuo Shirota
Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasis
Heliyon
Desmoplastic ameloblastoma
Pulmonary metastasis
Lung
Malignant ameloblastoma
title Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasis
title_full Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasis
title_fullStr Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasis
title_full_unstemmed Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasis
title_short Desmoplastic Ameloblastoma: A case report of rare pulmonary metastasis
title_sort desmoplastic ameloblastoma a case report of rare pulmonary metastasis
topic Desmoplastic ameloblastoma
Pulmonary metastasis
Lung
Malignant ameloblastoma
url http://www.sciencedirect.com/science/article/pii/S2405844024165668
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AT ryogokatada desmoplasticameloblastomaacasereportofrarepulmonarymetastasis
AT masatakawatanabe desmoplasticameloblastomaacasereportofrarepulmonarymetastasis
AT tatsuoshirota desmoplasticameloblastomaacasereportofrarepulmonarymetastasis