Pulmonary resection for multiple lung metastasis from ameloblastoma: a rare case report and literature review

Postgrad Med. 2021 Jan;133(1):117-122. doi: 10.1080/00325481.2020.1829841. Epub 2020 Nov 1.

Abstract

Introduction: Ameloblastoma is a benign odontogenic epithelial neoplasm. Lung metastasis of ameloblastoma is extremely rare, and its biological behavior is still largely unknown. There is no consensus regarding the best method to treat metastasizing ameloblastoma.

Case presentation: This report documents a 37-year-old female patient with multiple incidental bilateral pulmonary nodules on computed tomography (CT) and a medical history of ameloblastoma of the left mandible. On admission, her physical examinations and laboratory examinations were unremarkable. The patient underwent partial lobectomy of the middle right and lower right lung nodules via video-assisted thoracoscopic surgery, and the pathological diagnosis was confirmed as 'metastasizing ameloblastoma.' No adjuvant therapy was administered, and no evidence of progression was observed at the 12-month follow-up.

Conclusion: This is a rare case with multiple lung metastasis from ameloblastoma who was successfully treated with multiple pulmonary resections. The present study indicated that surgery may be considered an appropriate choice for lung metastasis of ameloblastoma.

Keywords: Ameloblastoma; lung metastasis; prognosis; surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ameloblastoma / pathology*
  • Female
  • Humans
  • Lung Neoplasms / secondary*
  • Lung Neoplasms / surgery*
  • Tomography, X-Ray Computed