A delayed presentation of ameloblastic fibrosarcoma in an African patient

BMJ Case Rep. 2017 Aug 1:2017:bcr2017220436. doi: 10.1136/bcr-2017-220436.

Abstract

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.

Keywords: head and neck cancer; head and neck surgery; oral and maxillofacial surgery; plastic and reconstructive surgery.

Publication types

  • Case Reports

MeSH terms

  • Ameloblastoma / surgery*
  • Female
  • Fibrosarcoma / surgery*
  • Humans
  • Mandibular Neoplasms / surgery*
  • Mandibular Osteotomy
  • Plastic Surgery Procedures
  • South Africa
  • Treatment Outcome
  • Young Adult