The radiologic progression of ameloblastomas
SA Journal of Radiology
| Field | Value | |
| Title | The radiologic progression of ameloblastomas | |
| Creator | Merbold, Lene Smit, Chané Ker-Fox, Jason Uys, Andre | |
| Description | Background: In developing countries, many diagnosed cases of ameloblastoma (AB) have a significant delay in receiving treatment because of patient factors and healthcare facility constraints.Objectives: The radiologic progression of ABs with delayed treatment was analysed using panoramic radiographs and cone-beam computed tomography imaging.Method: Histopathologically confirmed cases of AB with follow-up radiographs indicating no treatment were retrospectively reviewed over a study period of 10 years. Fifty-seven cases with 57 initial and 107 follow-up radiographs were included. Each follow-up radiograph was analysed for changes in borders, locularity, effects on surrounding structures and lesion size.Results: There was a general increase in poorly-demarcated lesions, with seven cases transforming from an initial unilocular to a multilocular appearance. At follow-up, there was an increase in cortical thinning and cortical destruction. Ameloblastomas presented with a three-fold increase in average size from the initial to follow-up visits. Regression analysis showed a statistically significant relationship between lesion duration and length (p = 0.001). A statistically significant relationship existed between duration and overall lesion dimensions when only the first and last observations per patient were used (p = 0.044).Conclusion: Considering the aggressive nature and unlimited growth potential, ABs with delayed treatment may show extensive growth, complicating their eventual management.Contribution: This study aimed to raise awareness of the importance of the timeous management of patients with AB by highlighting the detrimental effects of delayed treatment. | |
| Publisher | AOSIS | |
| Date | 2023-05-31 | |
| Identifier | 10.4102/sajr.v27i1.2668 | |
| Source | South African Journal of Radiology; Vol 27, No 1 (2023); 8 pages 2078-6778 1027-202X | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajr.org.za/index.php/sajr/article/view/2668/3400
https://sajr.org.za/index.php/sajr/article/view/2668/3401
https://sajr.org.za/index.php/sajr/article/view/2668/3402
https://sajr.org.za/index.php/sajr/article/view/2668/3403
|
|
ADVERTISEMENT
