Osteoid Osteoma of Cervical Spine: A Rare Presentation

Vinod Agrawal, Sanjay Tripathi, Saurav Narayan Nanda, Himanshu Parmar, J.K.B.C. Parthiban
2014 The Journal of Spinal Surgery  
The ameloblastic fibro-odontoma is a rare mixed odontogenic tumor. The ameloblastic fibro-odontoma is a well-circumscribed, painless, slow-growing, and expanding tumor with no propensity for bony invasion. Ameloblastic fibro-odontoma is often asymptomatic and usually detected as a result of failure of tooth eruption. It occurs predominantly in children and young adults with no sex predilection and present mostly in posterior segment of the mandible. Many times it presents as a painless
more » ... a painless swelling, which is the most common clinical sign. Radiologically, ameloblastic fibroodontoma shows a circumscribed radiolucency, which contains radiopaque foci of various sizes and shapes. Here we present a case of ameloblastic fibro -odontoma in an 18-year-old male patient associated with a hard painless swelling associated with moderate facial asymmetry in the right mandibular region. On histopathological analysis, all the classic features were noted and diagnosis of an ameloblastic fibro-odontoma was made without any obscurity. Diagnosis of ameloblastic fibro-odontoma remains a challenge for oral pathologists. There are many lesions, e.g. ameloblastic fibro-odontoma, odontoameloblastoma immature complex odontoma, calcifying epithelial odontogenic tumor and calcifying odontogenic cyst, which mimic ameloblastic fibroodontoma clinically and histopathologically. These conditions must be ruled out before making a definitive diagnosis of ameloblastic fibro-odontoma.
doi:10.5005/jp-journals-10039-1023 fatcat:w53uryfqf5gcbpz3tiula3xagm