Ameloblastoma of maxilla and mandible

Abstract

Results of various treatment modalities in 72 patients with ameloblastoma of mandible and 20 patients with ameloblastoma of maxilla are analyzed. Controversial methods of treatment are discussed to arrive at a semblance of rational management. It was found that: 1. Curettage was followed by local recurrence in 90% of mandibular and all maxillary ameloblastomas; 2. Subsequent resection could control 80% of mandibular but only a fraction of maxillary recurrences; 3. Marginal resection, in a few selected cases, might control primary cases of mandibular ameloblastoma but is not a useful procedure for recurrent mandibular ameloblastoma; 4. External radiation therapy was ineffective in controlling ameloblastoma but did not seem to adversely affect prognosis even after subsequent resection; and 5. Distant metastases, although rare, occurred in 7 patients. Copyright © 1974 American Cancer Society