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A case of recurrent ameloblastoma developing in an autogenous iliac bone graft 20 years after the initial treatment

¹ Department of Oral and Maxillofacial Radiology, Field of Tumor Biology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan; ² Department of Oral and Maxillofacial Radiology, College of Dentistry Kyung Hee University, Japan

*Correspondence to: Jun-ichi Asaumi, Department of Oral and Maxillofacial Radiology, Field of Tumor Biology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, 2-5-1, Shikata-cho, Okayama-city, Okayama, 700-8525, Japan; E-mail: asaumi{at}md.okayama-u.ac.jp

Received 14 February 2005; revised 4 April 2005; accepted 2 May 2005

A case of recurrent ameloblastoma developing in an autogenous iliac bone graft 20 years after radical resection of primary mandibular ameloblastoma is presented. This case showed extensive bony resorption extending throughout the auto-grafted bone. Seeding to the graft bone was suspected as a cause of the recurrence in the iliac bone graft because wide destruction of the graft bone was observed without any prior signs and symptoms of intraoral mucosa. Consequently, extensive resection of bone as well as adjacent soft tissue was performed. Persistent follow-up examination is essential for management of ameloblastoma.

Keywords: recurrence; ameloblastoma; bones; grafts

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