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5 Cards in this Set

  • Front
  • Back
Ameloblastoma:
Character
-Benign but infiltrative neoplasm featureing slow but persistant growth
-Painless bony expansion
-Most common epithelial odontogenic tumore
-Cells resemble enamel organ
-No enamel formation
-Some (20%) originate from follicle or dentigerous cyst
-Peak incidence b/n 30 and 40 y/o
-Cortex tries to keep up w/ growth
Ameloblastoma:
Location
-Originates anywhere in jaws where teeth from.
-Usually (56%) in mandibular 3rd molare area, sometimes (17%) associated w/ unerupted tooth
-Least common location is anterior maxilla
-often associated w/ unerupted or impacted tooth
Ameloblastoma
X-ray
-Classically multilocular, but may be unilocular.
-Expands cortex as bone growth tries to keep ahead of tumer, may eventually perforate
-Entirely radiolucent (will see locules/traeculae of normal bone, NOT the tumor)
Ameloblastoma:
Gross
-Partly cystic/partly solid
-Solid areas = pure proliferating ameloblastic epithelial cells
-Cystic areas = locules lined by similar cells
Ameloblastoma:
Histo
-Resembles enamel organ - looks like it should be able to start forming a tooth.
-Peripheral layer of columnar ameloblastic cells showing palisading and reverse polarity of nuclei
-Subnuclear vacuolization
-Inner layer duplicates morphology of stellate reticulum