Unicystic Ameloblastoma Masquerading as Huge Periapical Lesion, both Clinically and Histopathologically: Two Case Reports with Review of Literature

N V V Satyabhusan; Samapika Routray; Lavanya Bendi; B Venkat Suresh; Sumit Majumdar; Neeta Mohanty

doi:10.4103/2156-7514.119156

Unicystic Ameloblastoma Masquerading as Huge Periapical Lesion, both Clinically and Histopathologically: Two Case Reports with Review of Literature

J Clin Imaging Sci. 2013 Sep 30;3(Suppl 1):9. doi: 10.4103/2156-7514.119156. eCollection 2013.

Authors

N V V Satyabhusan¹, Samapika Routray², Lavanya Bendi³, B Venkat Suresh¹, Sumit Majumdar³, Neeta Mohanty²

Affiliations

¹ Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha O Anusandhan University, Bhubaneswar, Odisha, India.
² Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha O Anusandhan University, Bhubaneswar, Odisha, India.
³ Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Gandhinagar Campus, Rushikonda, Vishakapatanam, Andhra Pradesh, India.

Abstract

Unicystic ameloblastoma (UA) is one of the variants of ameloblastoma. It manifests as unilocular radiolucency in the mandible or maxilla on X-ray scans. In very rare cases, it can appear as a localized periradicular radiolucent area, imitating a periapical lesion. In this article, we present two cases of UA that were initially misdiagnosed as periapical lesions. Subsequently, surgical enucleation was performed and the diagnosis of UA was confirmed histopathologically.

Keywords: Ameloblastoma; periapical lesion; unicystic ameloblastoma; unilocular lesion.