Desmoplastic ameloblastoma with osteoplasia: Review of literature with a case report
A 26-year-old female reported with a swelling in relation to the upper front teeth. The swelling was slow in growth and present since 4 months. She had also noticed a slight downward movement of the affected teeth and had mild pain. On examination, a bony hard swelling was seen in relation to 21, 22 and 23 on the buccal aspect measuring about 2.5 cm × 1.5 cm and extending into the palate. It was non-tender. Grade I mobility of 21 and 22 was also noticed.\nRadiographs revealed the presence of irregular radiolucencies with faint radio-opacities in the periapical region of 22 and 23. Lamina dura of the teeth was hazy and teeth were seen to be displaced []. A provisional diagnosis of benign fibro-osseous lesion was made and an incisional biopsy was done.\nBoth hard-tissue and soft-tissue were received. The specimens showed few irregular epithelial islands in a densely fibrous connective stroma. The islands consisted of peripheral cuboidal cells and central spindle cells. Some of the islands showed cystic degeneration []. Extensive desmoplasia was seen throughout the stroma compressing the epithelial islands []. Areas of osseous metaplasia with active osteoblasts were also noted []. With the above picture, a diagnosis of DA with osteoplasia was made.