BMJ Case Reports 2016; doi:10.1136/bcr-2015-212778

Unicystic plexiform ameloblastoma with mural proliferation: a full-blown lesion

Editor's Choice
  1. Godishala Swamy Sugunakar Raju3
  1. 1Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad, Gujarat, India
  2. 2Department of Oral Pathology and Microbiology, Karnavati School of Dentistry, Gandhinagar, Gujarat, India
  3. 3Department of Oral and Maxillofacial Pathology, Kamineni Institute of Dental Sciences, Nalgonda, Telangana, India
  1. Correspondence to Dr Sumit Bahl, sumitbahl2004{at}
  • Accepted 21 March 2016
  • Published 6 April 2016


Ameloblastoma is the most common aggressive benign odontogenic tumour of the jaws and has received considerable attention due to its frequency, clinical subtypes and high tendency to infiltrate and recur. There are various types of this tumour and confusion still exists among clinicians as to its correct classification. Multicystic ameloblastoma is the most frequent subtype while unicystic ameloblastoma can be considered a variant of the solid or multicystic subtype. Unicystic ameloblastoma is considered a less aggressive tumour with a variable recurrence rate. However, its frequency is often underestimated. Ameloblastoma is often asymptomatic, presenting as a slowly enlarging facial swelling or an incidental finding on radiograph. It is seen in all age groups but is most commonly diagnosed in the third and fourth decades. We report a case of unusual unicystic ameloblastoma and present its clinical, radiological and full-blown histological changes and treatment modalities, providing new insights into ameloblastomas.

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