Importance of Cytopathological Examination for the Diagnosis of Ameloblastoma: Case Report
DOI:
https://doi.org/10.21270/archi.v11i3.5546Keywords:
Ameloblastoma, Diagnosis, Odontogenic Tumors, Biopsy, NeedleAbstract
Ameloblastomas are benign tumors of odontogenic origin with a high destructive power that often affect the mandible region. After suspicion, some tests are performed to obtain the diagnosis, such as imaging, histopathological and immunohistochemical tests. Aspiration puncture, ordinarily used as a semiotechnical maneuver to characterize the nature of the lesion (cystic or solid), may be important in the diagnostic elucidation of these cases in a cytopathological examination. This paper reports the clinical case of a 28-year-old male patient complaining of a “cyst” with an increase in volume and an eight-month evolution in the right anterior region of the mandible. For diagnosis, an aspiration puncture was performed in the tumor region, primarily, and an incisional biopsy sequentially, the collected materials were sent for cytopathological and histopathological examinations, respectively. The report of the first exam was suggestive of ameloblastoma, which can be confirmed in the histopathological exam. The treatment was the removal of the tumor with a safety margin. The report shows the importance of cytopathological examination as a diagnostic tool for elucidating expansive lesions in the maxillary bones. Aspiration puncture for collecting the material for this purpose is a simple, fast and inexpensive technique. When done well, its result is satisfactory and can have great diagnostic value.
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