A rare case report of recurrent desmoplastic ameloblastoma in the maxilla

Authors: Prof Pradhuman Verma, Dr. Md. Asdullah, Prof. Anshul Aggarwal

DOI: 10.18231/j.jooo.12284.1776640738

Keywords: desmoplastic ameloblactoma,recurrent,maxilla

Abstract: Desmoplastic ameloblastoma is a rare histological variant of ameloblastoma, comprising a small percentage of all cases. It differs from conventional types by its unique histopathology and radiological appearance, typically affecting the anterior maxilla. Recurrence is uncommon but clinically significant due to its locally aggressive nature and tendency for ill-defined borders. The present case describes a patient that experienced recurrences in the maxilla after conservative excision in the same site 20 years ago. The patient presented with a slowly enlarging, painless swelling in the left maxillary region. Clinical examination revealed a firm, non-tender swelling with vestibular obliteration. Radiographic imaging showed a poorly defined, mixed radiolucent-radiopaque lesion involving the anterior maxilla with extension toward the nasal floor. Histopathology confirmed recurrent desmoplastic ameloblastoma, characterized by dense collagenized stroma with compressed odontogenic epithelial islands. This case underscores the importance of early recognition, appropriate imaging, complete surgical excision, and regular long-term follow-up.