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CASE REPORT
Year : 2014  |  Volume : 5  |  Issue : 4  |  Page : 535-538

Massive granular cell ameloblastoma with dural extension and atypical morphology


1 Department of Oral and Maxillofacial Pathology, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
2 Department of Oral and Maxillofacial Pathology, SCB Dental College and Hospital, Cuttack, India
3 Department of Oral Medicine and Radiology, Institute of Dental Sciences, Bhubaneshwar, Odisha, India

Correspondence Address:
Rachna Rath
Department of Oral and Maxillofacial Pathology, SCB Dental College and Hospital, Cuttack, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-237X.142827

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Ameloblastomas are rare histologically benign, locally aggressive tumors arising from the oral ectoderm that occasionally reach a gigantic size. Giant ameloblastomas are a rarity these days with the advent of panoramic radiography in routine dental practice. Furthermore, the granular cell variant is an uncommon histological subtype of ameloblastoma where the central stellate reticulum like cells in tumor follicles is replaced by granular cells. Although granular cell ameloblastoma (GCA) is considered to be a destructive tumor with a high recurrence rate, the significance of granular cells in predicting its biologic behavior is debatable. However, we present a rare case of giant GCA of remarkable histomorphology showing extensive craniofacial involvement and dural extension that rendered a good prognosis following treatment.


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