Bone
Bone
DIAGNOSIS
Based on histological features the diagnosis was
given as Plexiform Ameloblastoma.
Ameloblastoma
(adamantinoma, adamantoblastoma, multilocular cyst)
Ameloblastoma
Acanthomatous Desmoplastic
keratin formation
Granular ameloblastoma:
There is marked transformation in the cytoplasm
if the cells.
The cytoplasm is very coarse, granular,
eosinophilic.
Basal cell type of ameloblastoma:
It resembles the basal cell carcinoma of the skin.
It is rarest histological subtype.
The epithelial cells are more primitive and less
columnar, and are arranged in sheet, no stellate
reticulum like cell are present in the center of the
nest.
Desmoplastic ameloblastoma :
Half of the Desmoplastic ameloblastoma are
located in the maxilla, and the vast majority occur
in the anterior or premolar portion of jaws.
This is in contrast to classical type of
ameloblastoma, which are found in the posterior
region of mandible.
Maxillary lesion are more insidious than
mandibular tumors owing to the proximity of vital
structures and maxillary sinus.
Also, the thin cortical bone of the maxilla forms a
weak barrier for the spread of the tumor.
Desmoplastic ameloblastoma :
Dense collagen stroma, may be hyalinised or
hypocellular.
Has greater tendency to grow in thin strands and
cords of epithelium rather than island like pattern.
The epithelial component is almost compressed
and fragmented by the dense hyalinised stroma.
The peripheral cells are flattened or cuboidal
rather than tall columnar in appearance.
Central cells are often scanty.
Reverse polarity and subnuclear vacuolisations is
difficult to recognize.
Compressed epithelial component