PT - JOURNAL ARTICLE AU - Chauke, Nkhensani Yvonne AU - Sofianos, Chrysis AU - Liakos, Dimitri AU - Ndobe, Elias TI - A delayed presentation of ameloblastic fibrosarcoma in an African patient AID - 10.1136/bcr-2017-220436 DP - 2017 Aug 01 TA - BMJ Case Reports PG - bcr-2017-220436 VI - 2017 4099 - http://casereports.bmj.com/content/2017/bcr-2017-220436.short 4100 - http://casereports.bmj.com/content/2017/bcr-2017-220436.full AB - A 24-year-old womanpresented with ameloblastic fibrosarcoma arising from ameloblastic fibroma. The delayed presentation accounted for the extensive destruction of the mandible and complete occlusion of her oral cavity. This resulted in an inability to eat and maintain oral hygiene. A multidisciplinary team management approach involved nutritional optimisation, segmental mandibulectomy, reconstruction with a reconstructive plate and a free anterolateral thigh flap to line the the floor of mouth. Functional and aesthetic outcome was acceptable, and the patient is planned for secondary free fibular flap bony reconstruction.