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Fine needle aspiration findings in malignant ameloblastoma: A case report and differential diagnosis
Author(s) -
ReidNicholson Michelle,
Teague Daniel,
White Barry,
Ramalingam Preetha,
Abdelsayed Rafik
Publication year - 2009
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.21083
Subject(s) - ameloblastoma , medicine , differential diagnosis , pathology , cervical lymph nodes , cytology , adamantinoma , lymph , sampling (signal processing) , radiology , metastasis , cancer , dentistry , maxilla , computer vision , filter (signal processing) , computer science
We present a case of malignant ameloblastoma presenting in the posterior mandible and cervical lymph nodes of an African American child. This case is somewhat unusual in that the patient was an adolescent and presented with metastatic disease. This partly clinical as well as cytologic diagnosis was facilitated by the presence of typical ameloblastoma cytology in multiple cervical lymph nodes adjacent to the histologically confirmed intraosseous ameloblastoma. Although cytology is helpful in diagnosing ameloblastoma, its features are by no means definitive as there are several cytologic mimics. A high index of suspicion is therefore necessary to confirm or exclude ameloblastoma when evaluating any jaw lesion and/or adjacent enlarged lymph nodes by cytologic examination. Adequate sampling is paramount to accurate diagnosis, and is especially important when attempting to distinguish ameloblastoma from ameloblastic carcinoma. Diagn. Cytopathol. 2009. © 2009 Wiley‐Liss, Inc.