RT Journal Article SR Electronic T1 A delayed presentation of ameloblastic fibrosarcoma in an African patient JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr-2017-220436 DO 10.1136/bcr-2017-220436 VO 2017 A1 Nkhensani Yvonne Chauke A1 Chrysis Sofianos A1 Dimitri Liakos A1 Elias Ndobe YR 2017 UL http://casereports.bmj.com/content/2017/bcr-2017-220436.abstract 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.