Journal of Oral Science Research ›› 2018, Vol. 34 ›› Issue (7): 751-755.DOI: 10.13701/j.cnki.kqyxyj.2018.07.016

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Clinic and CT Presentation of Desmoplastic Ameloblastoma

CAO Ya1, WANG Tie-mei1, HAN Chao1, SUN Guo-wen2, YANG Gong-xin3, WU Da-ming4, LIN Zhi-tong1*, WANG Cong-yue2*   

  1. 1. Department of Oral and Maxillofacial Radiology, Stomatological Hospital, Medical College of Nanjing University, Nanjing 210008, China;
    2. Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Medical College of Nanjing University, Nanjing 210008, China;
    3. Department of Oral and Maxillofacial Radiology, The Ninth People's Hospital, Medical School of Shanghai Jiao Tong University, Shanghai 201999, China;
    4. Department of Oral and Maxillofacial Radiology, Stomatological Hospital, Nanjing Medical University, Nanjing 210029, China.
  • Received:2017-12-26 Online:2018-07-28 Published:2018-07-20

Abstract: Objective: To retrospectively analyze the clinical and CT imaging features of 10 cases of desmoplastic ameloblastoma (DA) treated in recent 3 years. Methods: From March 2014 to September 2017, 10 cases of DA who referred to three hospitals and have completed clinic and CT images were collected and analyzed. The clinical data included the patient's sex, age, location of lesion, surgical treatment, and postoperative follow-up. Imaging analysis included lesion size, morphology, bone expansion, tooth movement and root resorption, impacted tooth, and the CT values of the lesion that was performed SCT examination. Moreover, 10 cases were divided based on their CT images. Results: Ten cases of DA were all located in the anterior and premolar area of maxilla. CT images showed honeycomb type with slim or sharp division and buccal expansion. All cases were confirmed by pathology. Ten patients underwent partial jaw resection and no recurrence was found after follow-up. Conclusion: DA has characteristic honeycomb CT appearance and buccal expansion. Its CT appearance relates to its histopathological features.

Key words: Desmoplastic, Ameloblastoma CT presentation, Honeycomb type, Diagnosis