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AMELOBLASTIC FIBROMA AT THE UNIVERSITY OF NAIROBI DENTAL HOSPITAL
Abstract
Objective: To document the occurrence of cases of ameloblastic fibroma.
Design: A retrospective study.
Setting: The Division of Oral Pathology and Oral Medicine histopathology laboratory at
the Faculty of Dental Sciences, University of Nairobi, January 1991 to December 2000.
Results: Seven complete records of histopathologically confirmed cases of ameloblastic
fibroma were identified. There were four male and three female cases with an age range
of 10 to 22 years (mean=14 years). Remarkably, six of the cases had lesions in the molar
regions of the mandible with a single case with a maxillary molar area lesion. One
of the cases had the neoplasm associated with an unerupted tooth. From the clinical
notes all the patients were managed by meticulous enucleation and curettage of the
lesions. After follow up periods ranging from several months to eight years no
recurrences had been recorded.
Conclusion: Evidently ameloblastic fibroma is an uncommon neoplasm as noted in the earlier
literature. Although the lesions can be quite extensive at the time of diagnosis, the recurrence
rate appears to be relatively low if the neoplasms are meticulously extirpated.
Design: A retrospective study.
Setting: The Division of Oral Pathology and Oral Medicine histopathology laboratory at
the Faculty of Dental Sciences, University of Nairobi, January 1991 to December 2000.
Results: Seven complete records of histopathologically confirmed cases of ameloblastic
fibroma were identified. There were four male and three female cases with an age range
of 10 to 22 years (mean=14 years). Remarkably, six of the cases had lesions in the molar
regions of the mandible with a single case with a maxillary molar area lesion. One
of the cases had the neoplasm associated with an unerupted tooth. From the clinical
notes all the patients were managed by meticulous enucleation and curettage of the
lesions. After follow up periods ranging from several months to eight years no
recurrences had been recorded.
Conclusion: Evidently ameloblastic fibroma is an uncommon neoplasm as noted in the earlier
literature. Although the lesions can be quite extensive at the time of diagnosis, the recurrence
rate appears to be relatively low if the neoplasms are meticulously extirpated.
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