Aspiration cytology of ameloblastic fibroma: a diagnostic challenge.
Ameloblastic fibroma of the jaw is a rare, benign mixed odontogenic tumor, having little tendency for local invasion and a low recurrence rate. Cytologic distinction from ameloblastoma, ameloblastic fibrosarcoma, and intraosseous adenoid cystic carcinoma is necessary, in view of the different biologic behavior. A painful, slow-growing swelling of the jaw in a 5-yr-old child clinicoradiologically considered as a benign cystic lesion was aspirated. Sheets of small monomorphic epithelial cells with peripheral palisading by columnar cells were seen on cytology smears. The striking feature was central hyaline globules in some tubules. A cytologic possibility of adenomatoid odontogenic tumor was suggested. Histopathology, however, confirmed it to be an ameloblastic fibroma.
Kumar
Neeta
N
Department of Pathology, Cytopathology Unit, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India. kumar_neeta@hotmail.com
Jain
Shyama
S
D000564:Ameloblastoma / Q000175:diagnosis; D044963:Biopsy, Fine-Needle; D003528:Carcinoma, Adenoid Cystic / Q000175:diagnosis; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005354:Fibrosarcoma / Q000175:diagnosis; D006801:Humans; D006818:Hyalin / Q000378:metabolism; D007573:Jaw Neoplasms / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology*; D008334:Mandible / Q000000981:diagnostic imaging / Q000473:pathology; D009810:Odontoma / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology*; D011859:Radiography