Desmoplastic ameloblastoma in the mandible: A case report

Introduction: 0.9 – 12.1% of all cases of ameloblastoma account to be Desmoplastic Ameloblastoma (DA). The presentation of the tumor is often similar to benign fibro-osseous lesions both clinically as well as radiographically. Histologically, DA is made up of small nests and strands of odontogenic epithelium which seem to be compressed by the highly collagenized stroma. We report a case of DA in a 44-year-old female with a mildly painful swelling in the anterior region of mandible. The lesion had a multilocular appearance on both panoramic radiographs as well as in the computed tomography scan. Histologically, the lesion was confirmed to be a case of DA. Regardless of the fact that DA is a rare entity, its aggressive nature binds the clinician to be cautious enough to include DA in the differential diagnosis of any lesion/growth clinically and radiographically mimicking a benign fibro osseous lesion.