Ameloblastoma
Rokowania, prognozy i postęp choroby

Ameloblastoma to łagodny, ale lokalnie agresywny nowotwór zębopochodny, charakteryzujący się wysokim wskaźnikiem wznowy (około 14,11%) przy leczeniu zachowawczym. Wskaźniki przeżycia bez wznowy (RFS) wynoszą 89,1% po 3 latach, 86,4% po 5 latach i 82,8% po 10 latach. Czynniki prognostyczne obejmują resorpcję korzeni zębów, perforację kości korowej, klasyfikację WHO oraz zastosowaną metodę leczenia. Ameloblastoma z niewyraźną granicą radiograficzną wykazuje wyższą ekspresję Ki-67, co koreluje z agresywniejszym przebiegiem i koniecznością radykalnego leczenia chirurgicznego. Różnice rasowe wpływają na wielkość guza i wiek zachorowania, z tendencją do większych guzów i młodszego wieku u pacjentów rasy czarnej (średni wiek 40,5 lat) w porównaniu do rasy białej (średni wiek 47,8 lat).

Wprowadzenie do rokowania w ameloblastoma

Ameloblastoma jest łagodnym nowotworem zębopochodnym, charakteryzującym się lokalną agresywnością i wysokim wskaźnikiem wznów, jeśli zabieg chirurgiczny nie jest przeprowadzony dokładnie.12 Mimo że jest to guz łagodny, jego zachowanie biologiczne jest agresywne, co często prowadzi do niepowodzeń leczenia chirurgicznego z powodu pooperacyjnej wznowy.3 Rokowanie w ameloblastoma jest złożone i zależy od wielu czynników, w tym zastosowanej metody leczenia, charakterystyki guza oraz indywidualnych cech pacjenta.

Badania wykazały, że 3-, 5- i 10-letnie wskaźniki przeżycia bez wznowy (RFS – recurrence-free survival) dla ameloblastoma wynoszą odpowiednio 89,1%, 86,4% i 82,8%.45 Ogólny wskaźnik wznów wynosi około 14,11%, choć może się znacznie różnić w zależności od zastosowanego podejścia terapeutycznego.6

Transformacja złośliwa

Chociaż ameloblastoma jest zasadniczo guzem łagodnym, w niektórych przypadkach komórki nowotworowe mogą podlegać mutacjom genetycznym, prowadzącym do transformacji złośliwej.7 Złośliwe przekształcenie ameloblastoma jest stosunkowo rzadkie, ale może wystąpić, szczególnie w przypadkach częstych wznów.8 Z tego powodu ameloblastoma jest klinicznie uważany za guz graniczny, wymagający ścisłego monitorowania i agresywnego leczenia.

Złośliwa ameloblastoma jest zbyt rzadka, aby dokładnie oszacować jej rokowanie. Ze względu na powolny wzrost, złośliwość może nie ujawnić się nawet przez 10 lat po początkowej resekcji łagodnego ameloblastoma.9 Powikłania złośliwego ameloblastoma wynikają zwykle z jego miejscowej inwazyjności lub odległych przerzutów.

Przerzuty ameloblastoma są stosunkowo rzadkie, występują w zaledwie 2% przypadków i zazwyczaj są diagnozowane po analizie retrospektywnej.10 Osłabiony układ odpornościowy i starzenie się komórkowe mogą zwiększać ryzyko przerzutów guza i transformacji złośliwej.11

Czynniki prognostyczne w ameloblastoma

Wieloczynnikowa analiza Coxa wykazała, że resorpcja korzeni zębów, perforacja kości korowej, wzorzec leczenia i klasyfikacja WHO są niezależnymi czynnikami prognostycznymi ryzyka ameloblastoma.1213 Te czynniki mają istotny wpływ na rokowanie i planowanie leczenia.

Granica radiograficzna jako wskaźnik rokowania

Granica radiograficzna może być wykorzystana jako jeden z wskaźników w ocenie zdolności proliferacyjnej ameloblastoma i rokowania pacjenta, co jest zgodne z ekspresją Ki-67.14 Ameloblastoma z niewyraźnie określoną granicą jest uważany za najbardziej agresywny, który powinien być leczony radykalnym zabiegiem chirurgicznym ze względu na wyższe prawdopodobieństwo wznowy.

Badania wykazały, że wskaźnik LI Ki-67 ameloblastoma w grupie z niewyraźnie określoną granicą radiograficzną był najwyższy spośród trzech badanych grup, co można przypisać faktowi, że ameloblastoma z niewyraźną granicą radiograficzną zawiera więcej komórek o wyższej zdolności proliferacyjnej.15

Wielkość guza i czynniki rasowe

Dane sugerują silny wpływ czynników rasowych na występowanie ameloblastoma. W odniesieniu do wielkości guza, u pacjentów rasy czarnej z ameloblastoma zaobserwowano tendencję do większych rozmiarów guza, choć potrzeba więcej danych, aby wyjaśnić zależność między wielkością guza a rasą, ponieważ inne czynniki mogą wpływać na rozmiar (np. czas do wykrycia).16

Wykryto statystycznie istotne różnice między wiekiem pacjentów rasy czarnej i białej z ameloblastoma. U pacjentów z ameloblastoma średni wiek pacjentów rasy czarnej wynosił 40,5 lat, a średni wiek pacjentów rasy białej 47,8 lat.17 Chociaż nie stwierdzono istotności dotyczącej wielkości ameloblastoma, średnia wielkość guza była tendencyjnie większa u pacjentów rasy czarnej w porównaniu z pacjentami rasy białej.18

Wpływ leczenia na rokowanie

Rokowanie ameloblastoma jest związane głównie z metodą leczenia chirurgicznego, co oznacza, że pacjenci poddani leczeniu zachowawczemu mają gorsze rokowanie niż ci, którzy zostali poddani leczeniu radykalnemu.19

Leczenie zachowawcze a radykalne

Wskaźnik wznowy jest około trzykrotnie wyższy w grupie leczonej zachowawczo w porównaniu z grupą leczoną radykalnie, a różnica ta jest statystycznie istotna.20 Mimo wysokiego wskaźnika wznowy, leczenie zachowawcze może być bardziej odpowiednie w przypadku mniejszych zmian i młodszych pacjentów, ze względu na lepszą pooperacyjną jakość życia oraz mniejsze upośledzenie funkcjonalne i estetyczne.

Na podstawie wyników przeglądów, leczenie zachowawcze może być zalecane jako podejście pierwszego rzutu dla wewnątrzkostnego ameloblastoma niezajmującego tkanek miękkich.21 Jednak ze względu na oczekiwany wyższy wskaźnik wznowy, zaleca się skrócenie odstępów między wizytami kontrolnymi.22

Większość autorów zgadza się, że radykalny zabieg chirurgiczny, taki jak resekcja marginalna lub segmentowa, był bardziej odpowiedni w zmniejszaniu wskaźnika wznowy zarówno wielotorbielowatych, jak i jednotorbielowatych ameloblastoma w porównaniu z leczeniem zachowawczym.23

W badaniu Hendra i wsp. z 2019 roku, łączny wskaźnik wznowy litych/wielotorbielowatych ameloblastoma po leczeniu radykalnym wynosił 8%, podczas gdy leczenie zachowawcze powodowało wznowy w 41% przypadków.24 Podobnie, Almeida i wsp. wykazali, że względne ryzyko wznowy było 3,15 razy większe, gdy przeprowadzono leczenie zachowawcze pierwotnego wielotorbielowatego ameloblastoma w porównaniu z leczeniem radykalnym.25

Zabiegi zachowawcze, takie jak wyłuszczenie, dekompresja i marsupializacja, nie były uważane za ostateczne zabiegi chirurgiczne, ale były przydatne tylko do zmniejszenia inwazyjności drugiego zabiegu.2627

Techniki chirurgiczne a nawroty

Ryzyko wznowy zostało znacznie zmniejszone przez przeprowadzenie mandibulektomii oraz w przypadku większych rozmiarów guza.28 Wznowa była wyłącznie związana z rozmiarem i techniką operacyjną.29 Analiza wskaźnika wznowy wykazała, że większe zmiany i bardziej rozległe wycięcie chirurgiczne (jak w mandibulektomii) były związane z niższymi wskaźnikami wznowy.30

Dokładna diagnoza ameloblastoma i planowanie chirurgiczne w celu zmniejszenia wskaźnika wznowy są uzależnione od zastosowania trójwymiarowych technik obrazowania, takich jak tomografia komputerowa.31

Model nomogramu prognostycznego

Opracowano korzystny nomogram, który dokładnie przewidywał RFS pacjentów z ameloblastoma na podstawie indywidualnych cech. Stratyfikacja ryzyka przy użyciu nomogramu może zoptymalizować dostosowaną terapię i obserwację.3233

Cztery niezależne predyktory, w tym perforacja kości korowej, resorpcja korzenia/i, klasyfikacja WHO i wzorzec leczenia, zostały zidentyfikowane i uwzględnione w konstrukcji nomogramu dla przeżycia bez wznowy (RFS), który wykazał obiecującą wydajność kalibracji i dyskryminacji w zestawie treningowym (C-index 0,790, 95% przedział ufności [CI] 0,735-0,845) i zestawie walidacyjnym (C-index 0,734, 95% CI 0,599-0,869).3435

Badanie to jest pierwszym, które skonstruowało prognostyczny model predykcyjny nomogramu do ilościowego oszacowania RFS dla pacjentów z ameloblastoma.36 Wznowa ameloblastoma jest istotnie związana z perforacją kości korowej, resorpcją korzenia/korzeni, klasyfikacją WHO i wzorcem leczenia.3738

Jakość życia po leczeniu ameloblastoma

Mimo że ameloblastoma jest łagodnym nowotworem, często wymaga rozległego zabiegu chirurgicznego.39 Rokowanie jest często pozytywne przy wczesnym leczeniu, jednak nieleczony ameloblastoma może prowadzić do uszkodzenia szczęki, deformacji twarzy, a nawet śmierci z powodu powikłań po rzadkich przerzutach, infekcji i uszkodzenia kluczowych struktur w obrębie głowy i szyi.40

W przypadku miejscowych powikłań, może prowadzić do postępującego zniekształcenia szczęki i żuchwy, powodując deformację, ból i nieprawidłowy zgryz.41

Leczenie zachowawcze, mimo wyższego wskaźnika wznowy, może być bardziej odpowiednie w przypadku mniejszych zmian i młodszych pacjentów, ze względu na lepszą pooperacyjną jakość życia oraz mniejsze upośledzenie funkcjonalne i estetyczne.4243

Rokowanie w ameloblastoma oczodołu

Wśród licznych typów guzów oczodołu, ameloblastoma oczodołowy jest rzadkim przerzutowym guzem łagodnym, który często pochodzi ze szczęki i później przerzutuje do oczodołu.44

Rokowanie ameloblastoma oczodołu jest stosunkowo złe, ale nadal istnieje nadzieja. Przy agresywnym leczeniu i ścisłej obserwacji kontrolnej pacjenci mogą nadal mieć możliwość osiągnięcia dłuższego okresu przeżycia i lepszej jakości życia.45

Leczenie OAM (orbital ameloblastoma) wymaga ścisłej współpracy między okulistyką, onkologią, radiologią i innymi dyscyplinami. W przyszłości zespoły interdyscyplinarne będą kładły większy nacisk na współpracę i komunikację, wspólnie formułując kompleksowe plany leczenia w celu poprawy wyników leczenia i jakości życia pacjentów.46

Kierunki przyszłych badań

Podstawowym wnioskiem z przeglądów systematycznych jest to, że radykalne leczenie ameloblastoma jest związane ze znacznie niższymi wskaźnikami wznowy w porównaniu z leczeniem zachowawczym.4748 Dla klinicystów, przeglądy te podkreślają znaczenie rozważenia korzyści niższych wskaźników wznowy w stosunku do ryzyka niekorzystnych wyników, w tym upośledzeń estetycznych i funkcjonalnych.49

Potrzebne są dalsze badania prospektywne, aby ustalić najlepszy wybór leczenia i okres obserwacji.50 Zachęca się badaczy do skupienia się na wysokiej jakości badaniach prospektywnych, które mogą dostarczyć bardziej jednoznacznych dowodów na temat porównawczej skuteczności i bezpieczeństwa leczenia radykalnego w porównaniu z zachowawczym.51

Potrzeba więcej danych, aby wyjaśnić związek między wielkością guza a rasą, ponieważ czynniki takie jak czas odkrycia mogą wpływać na ostateczne wyniki pacjenta.52

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  1. 13.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Development and Validation of a Prognostic Nomogram for Postoperative Recurrence-Free Survival of Ameloblastoma
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8179736/
    Ameloblastoma is a benign odontogenic neoplasm with a high local recurrence rate if the operation is not thorough. […] This study aims to develop a prognostic nomogram model for ameloblastoma of the jaw to assist surgeons in surgical decision-making. […] Four independent predictors, including cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern, were identified and included in the construction of a nomogram for recurrence-free survival (RFS), which showed promising calibration performance and discrimination in the training set (C-index 0.790, 95% confidence interval [CI] 0.7350.845) and the validation set (C-index 0.734, 95% CI 0.5990.869). […] A favorable nomogram was developed that accurately predicted the RFS of patients with ameloblastoma based on individual characteristics. Risk stratification using the nomogram could optimize tailored therapy and follow-up.
  • #2 Development and Validation of a Prognostic Nomogram for Postoperative | CMAR
    https://www.dovepress.com/development-and-validation-of-a-prognostic-nomogram-for-postoperative–peer-reviewed-fulltext-article-CMAR
    Ameloblastoma is a benign odontogenic neoplasm with a high local recurrence rate if the operation is not thorough. […] This study aims to develop a prognostic nomogram model for ameloblastoma of the jaw to assist surgeons in surgical decision-making. […] Four independent predictors, including cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern, were identified and included in the construction of a nomogram for recurrence-free survival (RFS), which showed promising calibration performance and discrimination in the training set (C-index 0.790, 95% confidence interval [CI] 0.735 0.845) and the validation set (C-index 0.734, 95% CI 0.599 0.869). […] A favorable nomogram was developed that accurately predicted the RFS of patients with ameloblastoma based on individual characteristics. Risk stratification using the nomogram could optimize tailored therapy and follow-up.
  • #3 Prognostic and proliferative evaluation of ameloblastoma based on radiographic boundary | International Journal of Oral Science
    https://www.nature.com/articles/ijos20128
    Ameloblastoma is a benign odontogenic tumor with an aggressive biological behavior, and the surgical treatment frequently results in failure for the postoperative recurrence. […] The radiographic boundary could be used as one of indicators in evaluating the proliferative ability of ameloblastoma and the patient’s prognosis, which was consistent with Ki-67 expression. […] The prognosis of ameloblastoma was associated mainly with the method of surgical treatment, which meant that patients receiving a conservative treatment had a worse prognosis than those who received a radical one. […] Ameloblastomas with ill-defined boundary are thought to have the most aggressive behavior than others, which should be treated by the radical surgery because of the higher recurrent probability. […] We found that the Ki-67 LI of the ameloblastoma in group III was the highest among the three groups which could be attributed to the fact that ameloblastoma with ill-defined radiographic boundary contained more cells with higher proliferative ability. […] It means that we could use the radiographic boundary as a reference to the patients for choosing surgical plan, apart from the lesion size, location, patient age, clinical and pathological types, and other parameters, and avoid the overtreatment to make those patients get a better quality of life.
  • #4 Development and Validation of a Prognostic Nomogram for Postoperative | CMAR
    https://www.dovepress.com/development-and-validation-of-a-prognostic-nomogram-for-postoperative–peer-reviewed-fulltext-article-CMAR
    The study results presented herein show that the 3-, 5- and 10-year RFS rates for ameloblastoma were 89.1%, 86.4% and 82.8%, respectively. […] Multivariate Cox analysis showed that root(s) resorption, cortical bone perforation, treatment pattern, and WHO classification were independent prognostic risk factors of ameloblastoma. […] To the best of our knowledge, this study is the first to construct a prognostic predictive nomogram model to quantitatively estimate the RFS for patients with ameloblastoma. […] In conclusion, the recurrence of ameloblastoma is significantly associated with cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern. The study presented herein is the first to develop and use a nomogram to accurately predict the prognosis and RFS in patients with ameloblastoma following surgery.
  • #5 Development and Validation of a Prognostic Nomogram for Postoperative Recurrence-Free Survival of Ameloblastoma
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8179736/
    The study results presented herein show that the 3-, 5- and 10-year RFS rates for ameloblastoma were 89.1%, 86.4% and 82.8%, respectively. […] Multivariate Cox analysis showed that root(s) resorption, cortical bone perforation, treatment pattern, and WHO classification were independent prognostic risk factors of ameloblastoma. […] Therefore, our nomogram model may be applied clinically to create more tailored strategies to minimize and manage recurrence risk in patients with ameloblastoma. […] The recurrence of ameloblastoma is significantly associated with cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern. The study presented herein is the first to develop and use a nomogram to accurately predict the prognosis and RFS in patients with ameloblastoma following surgery.
  • #6 Classification and prognostic evaluation of ameloblastoma using multiplanar CT imaging: a retrospective analysis | BMC Oral Health | Full Text
    https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05485-6
    Ameloblastoma is the most prevalent odontogenic tumor of the jaw, with a significant recurrence rate. […] The recurrence rate was 14.11%, and the risk of recurrence was substantially reduced by mandibulectomy and a larger tumor size. […] An accurate diagnosis of ameloblastoma and surgical planning to reduce the recurrence rate are contingent upon the use of three-dimensional imaging modalities, such as CT. […] The recurrence was exclusively associated with the size and operation technique. […] A recurrence rate analysis found that larger lesions and more extensive surgical excision (as in mandibulectomy) were associated with lower recurrence rates. […] No direct correlation was found between the newly defined locularity types and recurrence rates.
  • #7
    https://link.springer.com/article/10.1007/s44178-024-00145-1
    A weakened immune system and cellular aging may increase the risk of tumor metastasis and malignant transformation, including the metastasis of ameloblastoma to the orbit. […] Although ameloblastoma is essentially a benign tumor, in some cases, tumor cells may undergo genetic mutations, leading to malignant transformation. […] Malignantly transformed tumor cells have stronger invasiveness and metastatic potential, making them more prone to orbital metastasis. […] The treatment of OAM requires close collaboration between ophthalmology, oncology, radiology, and other disciplines. In the future, interdisciplinary teams will place greater emphasis on collaboration and communication, jointly formulating comprehensive treatment plans to improve treatment outcomes and patients’ quality of life.
  • #8
    https://link.springer.com/article/10.1007/s44178-024-00145-1
    There are numerous types of orbital tumors, among which orbital ameloblastoma is a rare metastatic benign tumor that often originates in the jaw and later metastasizes to the orbit. […] The prognosis of orbital ameloblastoma is relatively poor, but there is still hope. With aggressive treatment and close follow-up observation, patients may still have the possibility of achieving a longer survival period and a better quality of life. […] Ameloblastoma has the potential for malignant transformation in cases of frequent recurrence, similar to confirmed malignant tumors. […] Therefore, it is clinically considered as a borderline tumor that requires close monitoring and aggressive treatment. […] The metastasis of ameloblastoma is relatively rare, with only 2% of cases experiencing metastasis, usually diagnosed after retrospective analysis.
  • #9 Ameloblastoma – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK545165/
    Prognosis: Unfortunately, malignant ameloblastoma is too rare to estimate its prognosis. Due to its slow-growing nature, the malignancy may not occur for up to 10 years after initial resection of benign ameloblastoma. […] The complications of malignant ameloblastoma are usually due to its local invasiveness or distant metastatic spread. In terms of local complications, it can lead to progressive maxillary and mandibular distortion leading to deformity, pain, and malocclusion.
  • #10
    https://link.springer.com/article/10.1007/s44178-024-00145-1
    There are numerous types of orbital tumors, among which orbital ameloblastoma is a rare metastatic benign tumor that often originates in the jaw and later metastasizes to the orbit. […] The prognosis of orbital ameloblastoma is relatively poor, but there is still hope. With aggressive treatment and close follow-up observation, patients may still have the possibility of achieving a longer survival period and a better quality of life. […] Ameloblastoma has the potential for malignant transformation in cases of frequent recurrence, similar to confirmed malignant tumors. […] Therefore, it is clinically considered as a borderline tumor that requires close monitoring and aggressive treatment. […] The metastasis of ameloblastoma is relatively rare, with only 2% of cases experiencing metastasis, usually diagnosed after retrospective analysis.
  • #11
    https://link.springer.com/article/10.1007/s44178-024-00145-1
    A weakened immune system and cellular aging may increase the risk of tumor metastasis and malignant transformation, including the metastasis of ameloblastoma to the orbit. […] Although ameloblastoma is essentially a benign tumor, in some cases, tumor cells may undergo genetic mutations, leading to malignant transformation. […] Malignantly transformed tumor cells have stronger invasiveness and metastatic potential, making them more prone to orbital metastasis. […] The treatment of OAM requires close collaboration between ophthalmology, oncology, radiology, and other disciplines. In the future, interdisciplinary teams will place greater emphasis on collaboration and communication, jointly formulating comprehensive treatment plans to improve treatment outcomes and patients’ quality of life.
  • #12 Development and Validation of a Prognostic Nomogram for Postoperative | CMAR
    https://www.dovepress.com/development-and-validation-of-a-prognostic-nomogram-for-postoperative–peer-reviewed-fulltext-article-CMAR
    The study results presented herein show that the 3-, 5- and 10-year RFS rates for ameloblastoma were 89.1%, 86.4% and 82.8%, respectively. […] Multivariate Cox analysis showed that root(s) resorption, cortical bone perforation, treatment pattern, and WHO classification were independent prognostic risk factors of ameloblastoma. […] To the best of our knowledge, this study is the first to construct a prognostic predictive nomogram model to quantitatively estimate the RFS for patients with ameloblastoma. […] In conclusion, the recurrence of ameloblastoma is significantly associated with cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern. The study presented herein is the first to develop and use a nomogram to accurately predict the prognosis and RFS in patients with ameloblastoma following surgery.
  • #13 Development and Validation of a Prognostic Nomogram for Postoperative Recurrence-Free Survival of Ameloblastoma
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8179736/
    The study results presented herein show that the 3-, 5- and 10-year RFS rates for ameloblastoma were 89.1%, 86.4% and 82.8%, respectively. […] Multivariate Cox analysis showed that root(s) resorption, cortical bone perforation, treatment pattern, and WHO classification were independent prognostic risk factors of ameloblastoma. […] Therefore, our nomogram model may be applied clinically to create more tailored strategies to minimize and manage recurrence risk in patients with ameloblastoma. […] The recurrence of ameloblastoma is significantly associated with cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern. The study presented herein is the first to develop and use a nomogram to accurately predict the prognosis and RFS in patients with ameloblastoma following surgery.
  • #14 Prognostic and proliferative evaluation of ameloblastoma based on radiographic boundary | International Journal of Oral Science
    https://www.nature.com/articles/ijos20128
    Ameloblastoma is a benign odontogenic tumor with an aggressive biological behavior, and the surgical treatment frequently results in failure for the postoperative recurrence. […] The radiographic boundary could be used as one of indicators in evaluating the proliferative ability of ameloblastoma and the patient’s prognosis, which was consistent with Ki-67 expression. […] The prognosis of ameloblastoma was associated mainly with the method of surgical treatment, which meant that patients receiving a conservative treatment had a worse prognosis than those who received a radical one. […] Ameloblastomas with ill-defined boundary are thought to have the most aggressive behavior than others, which should be treated by the radical surgery because of the higher recurrent probability. […] We found that the Ki-67 LI of the ameloblastoma in group III was the highest among the three groups which could be attributed to the fact that ameloblastoma with ill-defined radiographic boundary contained more cells with higher proliferative ability. […] It means that we could use the radiographic boundary as a reference to the patients for choosing surgical plan, apart from the lesion size, location, patient age, clinical and pathological types, and other parameters, and avoid the overtreatment to make those patients get a better quality of life.
  • #15 Prognostic and proliferative evaluation of ameloblastoma based on radiographic boundary | International Journal of Oral Science
    https://www.nature.com/articles/ijos20128
    Ameloblastoma is a benign odontogenic tumor with an aggressive biological behavior, and the surgical treatment frequently results in failure for the postoperative recurrence. […] The radiographic boundary could be used as one of indicators in evaluating the proliferative ability of ameloblastoma and the patient’s prognosis, which was consistent with Ki-67 expression. […] The prognosis of ameloblastoma was associated mainly with the method of surgical treatment, which meant that patients receiving a conservative treatment had a worse prognosis than those who received a radical one. […] Ameloblastomas with ill-defined boundary are thought to have the most aggressive behavior than others, which should be treated by the radical surgery because of the higher recurrent probability. […] We found that the Ki-67 LI of the ameloblastoma in group III was the highest among the three groups which could be attributed to the fact that ameloblastoma with ill-defined radiographic boundary contained more cells with higher proliferative ability. […] It means that we could use the radiographic boundary as a reference to the patients for choosing surgical plan, apart from the lesion size, location, patient age, clinical and pathological types, and other parameters, and avoid the overtreatment to make those patients get a better quality of life.
  • #16
    https://link.springer.com/article/10.1007/s40615-024-01993-3
    Ameloblastomas are benign neoplasms of the jaw, but frequently require extensive surgery. […] The prognosis is often positive when treated early, an untreated ameloblastoma can lead to jaw damage, facial deformity, and even death due to complications from rare metastases, infection, and damage to critical structures in the head and neck. […] Data suggests a strong influence of racial factors on the incidence of ameloblastoma, with regards to size, Black patients with ameloblastoma trended higher and more data is needed to clearly elucidate any relationship between the tumor size and race, as other factors may influence the size (such as time to discovery). […] We found a statistically significant differences between the age of Black and White patients presenting with ameloblastomas. For ameloblastoma patients, the mean age of Black patients was 40.5 years and the mean age of White patients occurring at 47.8 years.
  • #17
    https://link.springer.com/article/10.1007/s40615-024-01993-3
    Ameloblastomas are benign neoplasms of the jaw, but frequently require extensive surgery. […] The prognosis is often positive when treated early, an untreated ameloblastoma can lead to jaw damage, facial deformity, and even death due to complications from rare metastases, infection, and damage to critical structures in the head and neck. […] Data suggests a strong influence of racial factors on the incidence of ameloblastoma, with regards to size, Black patients with ameloblastoma trended higher and more data is needed to clearly elucidate any relationship between the tumor size and race, as other factors may influence the size (such as time to discovery). […] We found a statistically significant differences between the age of Black and White patients presenting with ameloblastomas. For ameloblastoma patients, the mean age of Black patients was 40.5 years and the mean age of White patients occurring at 47.8 years.
  • #18
    https://link.springer.com/article/10.1007/s40615-024-01993-3
    While we did not find significance for size of ameloblastomas, the mean tumor size trended larger in the Black patients compared to the White patients. […] With respect to recurrence rate of 9 of the 129 total cases (7.0%), our rate is in agreement with the rate of 6.8% found in Nigeria where surgical resection was utilized as the primary treatment method. […] More data is needed to clearly elucidate any relationship between the tumor size and race, as factors such as time of discovery may impact the ultimate patient outcomes. […] In conclusion, we have shown the higher prevalence of ameloblastomas in Black patients within the southern United States over a ten-year period. Critically, we found significance between the age of Black and White patients, with Black patients presenting with ameloblastomas around 7 years earlier on average.
  • #19 Prognostic and proliferative evaluation of ameloblastoma based on radiographic boundary | International Journal of Oral Science
    https://www.nature.com/articles/ijos20128
    Ameloblastoma is a benign odontogenic tumor with an aggressive biological behavior, and the surgical treatment frequently results in failure for the postoperative recurrence. […] The radiographic boundary could be used as one of indicators in evaluating the proliferative ability of ameloblastoma and the patient’s prognosis, which was consistent with Ki-67 expression. […] The prognosis of ameloblastoma was associated mainly with the method of surgical treatment, which meant that patients receiving a conservative treatment had a worse prognosis than those who received a radical one. […] Ameloblastomas with ill-defined boundary are thought to have the most aggressive behavior than others, which should be treated by the radical surgery because of the higher recurrent probability. […] We found that the Ki-67 LI of the ameloblastoma in group III was the highest among the three groups which could be attributed to the fact that ameloblastoma with ill-defined radiographic boundary contained more cells with higher proliferative ability. […] It means that we could use the radiographic boundary as a reference to the patients for choosing surgical plan, apart from the lesion size, location, patient age, clinical and pathological types, and other parameters, and avoid the overtreatment to make those patients get a better quality of life.
  • #20 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    Ameloblastoma is a rare, benign, but locally aggressive odontogenic tumor that originates from the epithelial cells involved in tooth development. […] The primary outcome was the recurrence rate after surgical treatment, while the secondary outcomes were the post-operative complications, quality of life, esthetic, and functional impairment. […] The recurrence rate is about three-times more likely in the conservative treatment group compared to the radical treatment group, and this result is statistically significant. […] Despite the high recurrence rate, the latter was more appropriate in the case of smaller lesions and younger patients, due to better post-operative quality of life and reduced functional and esthetic impairments. […] Based on the results of this overview, conservative treatment may be recommended as the first-line approach for intraosseous ameloblastoma not involving soft tissue.
  • #21 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    Ameloblastoma is a rare, benign, but locally aggressive odontogenic tumor that originates from the epithelial cells involved in tooth development. […] The primary outcome was the recurrence rate after surgical treatment, while the secondary outcomes were the post-operative complications, quality of life, esthetic, and functional impairment. […] The recurrence rate is about three-times more likely in the conservative treatment group compared to the radical treatment group, and this result is statistically significant. […] Despite the high recurrence rate, the latter was more appropriate in the case of smaller lesions and younger patients, due to better post-operative quality of life and reduced functional and esthetic impairments. […] Based on the results of this overview, conservative treatment may be recommended as the first-line approach for intraosseous ameloblastoma not involving soft tissue.
  • #22 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    However, given the expectation of a higher recurrence rate, it is advisable to reduce the interval between follow-up visits. […] Most authors agreed that radical surgery, as marginal or segmental resection, was more appropriate in reducing the recurrence rate of both multicystic and unicystic ameloblastomas in comparison with conservative treatments. […] Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] In Hendra et al. 2019, the pooled recurrence rate of solid/multicystic ameloblastomas following radical treatment was 8%, while conservative treatment caused recurrences in 41%. […] Similarly, Almeida et al. showed that the relative risk of recurrence was 3.15-fold greater when conservative treatment was performed on primary multicystic ameloblastoma in comparison to radical treatment.
  • #23 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    However, given the expectation of a higher recurrence rate, it is advisable to reduce the interval between follow-up visits. […] Most authors agreed that radical surgery, as marginal or segmental resection, was more appropriate in reducing the recurrence rate of both multicystic and unicystic ameloblastomas in comparison with conservative treatments. […] Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] In Hendra et al. 2019, the pooled recurrence rate of solid/multicystic ameloblastomas following radical treatment was 8%, while conservative treatment caused recurrences in 41%. […] Similarly, Almeida et al. showed that the relative risk of recurrence was 3.15-fold greater when conservative treatment was performed on primary multicystic ameloblastoma in comparison to radical treatment.
  • #24 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    However, given the expectation of a higher recurrence rate, it is advisable to reduce the interval between follow-up visits. […] Most authors agreed that radical surgery, as marginal or segmental resection, was more appropriate in reducing the recurrence rate of both multicystic and unicystic ameloblastomas in comparison with conservative treatments. […] Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] In Hendra et al. 2019, the pooled recurrence rate of solid/multicystic ameloblastomas following radical treatment was 8%, while conservative treatment caused recurrences in 41%. […] Similarly, Almeida et al. showed that the relative risk of recurrence was 3.15-fold greater when conservative treatment was performed on primary multicystic ameloblastoma in comparison to radical treatment.
  • #25 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    However, given the expectation of a higher recurrence rate, it is advisable to reduce the interval between follow-up visits. […] Most authors agreed that radical surgery, as marginal or segmental resection, was more appropriate in reducing the recurrence rate of both multicystic and unicystic ameloblastomas in comparison with conservative treatments. […] Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] In Hendra et al. 2019, the pooled recurrence rate of solid/multicystic ameloblastomas following radical treatment was 8%, while conservative treatment caused recurrences in 41%. […] Similarly, Almeida et al. showed that the relative risk of recurrence was 3.15-fold greater when conservative treatment was performed on primary multicystic ameloblastoma in comparison to radical treatment.
  • #26 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    However, given the expectation of a higher recurrence rate, it is advisable to reduce the interval between follow-up visits. […] Most authors agreed that radical surgery, as marginal or segmental resection, was more appropriate in reducing the recurrence rate of both multicystic and unicystic ameloblastomas in comparison with conservative treatments. […] Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] In Hendra et al. 2019, the pooled recurrence rate of solid/multicystic ameloblastomas following radical treatment was 8%, while conservative treatment caused recurrences in 41%. […] Similarly, Almeida et al. showed that the relative risk of recurrence was 3.15-fold greater when conservative treatment was performed on primary multicystic ameloblastoma in comparison to radical treatment.
  • #27 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339
    Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] The recurrence rate after the conservative surgery is neither comparable nor lower than the radical surgery (p = 0.28). […] The primary finding of this umbrella review is that radical treatments for ameloblastoma are associated with significantly lower recurrence rates compared to conservative treatments. […] For clinicians, this review underscores the importance of weighing the benefits of lower recurrence rates against the risks of adverse outcomes, including esthetic and functional impairments. […] Further prospective studies are needed to establish the best treatment choice and follow-up period.
  • #28 Classification and prognostic evaluation of ameloblastoma using multiplanar CT imaging: a retrospective analysis | BMC Oral Health | Full Text
    https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05485-6
    Ameloblastoma is the most prevalent odontogenic tumor of the jaw, with a significant recurrence rate. […] The recurrence rate was 14.11%, and the risk of recurrence was substantially reduced by mandibulectomy and a larger tumor size. […] An accurate diagnosis of ameloblastoma and surgical planning to reduce the recurrence rate are contingent upon the use of three-dimensional imaging modalities, such as CT. […] The recurrence was exclusively associated with the size and operation technique. […] A recurrence rate analysis found that larger lesions and more extensive surgical excision (as in mandibulectomy) were associated with lower recurrence rates. […] No direct correlation was found between the newly defined locularity types and recurrence rates.
  • #29 Classification and prognostic evaluation of ameloblastoma using multiplanar CT imaging: a retrospective analysis | BMC Oral Health | Full Text
    https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05485-6
    Ameloblastoma is the most prevalent odontogenic tumor of the jaw, with a significant recurrence rate. […] The recurrence rate was 14.11%, and the risk of recurrence was substantially reduced by mandibulectomy and a larger tumor size. […] An accurate diagnosis of ameloblastoma and surgical planning to reduce the recurrence rate are contingent upon the use of three-dimensional imaging modalities, such as CT. […] The recurrence was exclusively associated with the size and operation technique. […] A recurrence rate analysis found that larger lesions and more extensive surgical excision (as in mandibulectomy) were associated with lower recurrence rates. […] No direct correlation was found between the newly defined locularity types and recurrence rates.
  • #30 Classification and prognostic evaluation of ameloblastoma using multiplanar CT imaging: a retrospective analysis | BMC Oral Health | Full Text
    https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05485-6
    Ameloblastoma is the most prevalent odontogenic tumor of the jaw, with a significant recurrence rate. […] The recurrence rate was 14.11%, and the risk of recurrence was substantially reduced by mandibulectomy and a larger tumor size. […] An accurate diagnosis of ameloblastoma and surgical planning to reduce the recurrence rate are contingent upon the use of three-dimensional imaging modalities, such as CT. […] The recurrence was exclusively associated with the size and operation technique. […] A recurrence rate analysis found that larger lesions and more extensive surgical excision (as in mandibulectomy) were associated with lower recurrence rates. […] No direct correlation was found between the newly defined locularity types and recurrence rates.
  • #31 Classification and prognostic evaluation of ameloblastoma using multiplanar CT imaging: a retrospective analysis | BMC Oral Health | Full Text
    https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05485-6
    Ameloblastoma is the most prevalent odontogenic tumor of the jaw, with a significant recurrence rate. […] The recurrence rate was 14.11%, and the risk of recurrence was substantially reduced by mandibulectomy and a larger tumor size. […] An accurate diagnosis of ameloblastoma and surgical planning to reduce the recurrence rate are contingent upon the use of three-dimensional imaging modalities, such as CT. […] The recurrence was exclusively associated with the size and operation technique. […] A recurrence rate analysis found that larger lesions and more extensive surgical excision (as in mandibulectomy) were associated with lower recurrence rates. […] No direct correlation was found between the newly defined locularity types and recurrence rates.
  • #32 Development and Validation of a Prognostic Nomogram for Postoperative Recurrence-Free Survival of Ameloblastoma
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8179736/
    Ameloblastoma is a benign odontogenic neoplasm with a high local recurrence rate if the operation is not thorough. […] This study aims to develop a prognostic nomogram model for ameloblastoma of the jaw to assist surgeons in surgical decision-making. […] Four independent predictors, including cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern, were identified and included in the construction of a nomogram for recurrence-free survival (RFS), which showed promising calibration performance and discrimination in the training set (C-index 0.790, 95% confidence interval [CI] 0.7350.845) and the validation set (C-index 0.734, 95% CI 0.5990.869). […] A favorable nomogram was developed that accurately predicted the RFS of patients with ameloblastoma based on individual characteristics. Risk stratification using the nomogram could optimize tailored therapy and follow-up.
  • #33 Development and Validation of a Prognostic Nomogram for Postoperative | CMAR
    https://www.dovepress.com/development-and-validation-of-a-prognostic-nomogram-for-postoperative–peer-reviewed-fulltext-article-CMAR
    Ameloblastoma is a benign odontogenic neoplasm with a high local recurrence rate if the operation is not thorough. […] This study aims to develop a prognostic nomogram model for ameloblastoma of the jaw to assist surgeons in surgical decision-making. […] Four independent predictors, including cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern, were identified and included in the construction of a nomogram for recurrence-free survival (RFS), which showed promising calibration performance and discrimination in the training set (C-index 0.790, 95% confidence interval [CI] 0.735 0.845) and the validation set (C-index 0.734, 95% CI 0.599 0.869). […] A favorable nomogram was developed that accurately predicted the RFS of patients with ameloblastoma based on individual characteristics. Risk stratification using the nomogram could optimize tailored therapy and follow-up.
  • #34 Development and Validation of a Prognostic Nomogram for Postoperative Recurrence-Free Survival of Ameloblastoma
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8179736/
    Ameloblastoma is a benign odontogenic neoplasm with a high local recurrence rate if the operation is not thorough. […] This study aims to develop a prognostic nomogram model for ameloblastoma of the jaw to assist surgeons in surgical decision-making. […] Four independent predictors, including cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern, were identified and included in the construction of a nomogram for recurrence-free survival (RFS), which showed promising calibration performance and discrimination in the training set (C-index 0.790, 95% confidence interval [CI] 0.7350.845) and the validation set (C-index 0.734, 95% CI 0.5990.869). […] A favorable nomogram was developed that accurately predicted the RFS of patients with ameloblastoma based on individual characteristics. Risk stratification using the nomogram could optimize tailored therapy and follow-up.
  • #35 Development and Validation of a Prognostic Nomogram for Postoperative | CMAR
    https://www.dovepress.com/development-and-validation-of-a-prognostic-nomogram-for-postoperative–peer-reviewed-fulltext-article-CMAR
    Ameloblastoma is a benign odontogenic neoplasm with a high local recurrence rate if the operation is not thorough. […] This study aims to develop a prognostic nomogram model for ameloblastoma of the jaw to assist surgeons in surgical decision-making. […] Four independent predictors, including cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern, were identified and included in the construction of a nomogram for recurrence-free survival (RFS), which showed promising calibration performance and discrimination in the training set (C-index 0.790, 95% confidence interval [CI] 0.735 0.845) and the validation set (C-index 0.734, 95% CI 0.599 0.869). […] A favorable nomogram was developed that accurately predicted the RFS of patients with ameloblastoma based on individual characteristics. Risk stratification using the nomogram could optimize tailored therapy and follow-up.
  • #36 Development and Validation of a Prognostic Nomogram for Postoperative | CMAR
    https://www.dovepress.com/development-and-validation-of-a-prognostic-nomogram-for-postoperative–peer-reviewed-fulltext-article-CMAR
    The study results presented herein show that the 3-, 5- and 10-year RFS rates for ameloblastoma were 89.1%, 86.4% and 82.8%, respectively. […] Multivariate Cox analysis showed that root(s) resorption, cortical bone perforation, treatment pattern, and WHO classification were independent prognostic risk factors of ameloblastoma. […] To the best of our knowledge, this study is the first to construct a prognostic predictive nomogram model to quantitatively estimate the RFS for patients with ameloblastoma. […] In conclusion, the recurrence of ameloblastoma is significantly associated with cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern. The study presented herein is the first to develop and use a nomogram to accurately predict the prognosis and RFS in patients with ameloblastoma following surgery.
  • #37 Development and Validation of a Prognostic Nomogram for Postoperative | CMAR
    https://www.dovepress.com/development-and-validation-of-a-prognostic-nomogram-for-postoperative–peer-reviewed-fulltext-article-CMAR
    The study results presented herein show that the 3-, 5- and 10-year RFS rates for ameloblastoma were 89.1%, 86.4% and 82.8%, respectively. […] Multivariate Cox analysis showed that root(s) resorption, cortical bone perforation, treatment pattern, and WHO classification were independent prognostic risk factors of ameloblastoma. […] To the best of our knowledge, this study is the first to construct a prognostic predictive nomogram model to quantitatively estimate the RFS for patients with ameloblastoma. […] In conclusion, the recurrence of ameloblastoma is significantly associated with cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern. The study presented herein is the first to develop and use a nomogram to accurately predict the prognosis and RFS in patients with ameloblastoma following surgery.
  • #38 Development and Validation of a Prognostic Nomogram for Postoperative Recurrence-Free Survival of Ameloblastoma
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8179736/
    The study results presented herein show that the 3-, 5- and 10-year RFS rates for ameloblastoma were 89.1%, 86.4% and 82.8%, respectively. […] Multivariate Cox analysis showed that root(s) resorption, cortical bone perforation, treatment pattern, and WHO classification were independent prognostic risk factors of ameloblastoma. […] Therefore, our nomogram model may be applied clinically to create more tailored strategies to minimize and manage recurrence risk in patients with ameloblastoma. […] The recurrence of ameloblastoma is significantly associated with cortical bone perforation, root(s) resorption, WHO classification, and treatment pattern. The study presented herein is the first to develop and use a nomogram to accurately predict the prognosis and RFS in patients with ameloblastoma following surgery.
  • #39
    https://link.springer.com/article/10.1007/s40615-024-01993-3
    Ameloblastomas are benign neoplasms of the jaw, but frequently require extensive surgery. […] The prognosis is often positive when treated early, an untreated ameloblastoma can lead to jaw damage, facial deformity, and even death due to complications from rare metastases, infection, and damage to critical structures in the head and neck. […] Data suggests a strong influence of racial factors on the incidence of ameloblastoma, with regards to size, Black patients with ameloblastoma trended higher and more data is needed to clearly elucidate any relationship between the tumor size and race, as other factors may influence the size (such as time to discovery). […] We found a statistically significant differences between the age of Black and White patients presenting with ameloblastomas. For ameloblastoma patients, the mean age of Black patients was 40.5 years and the mean age of White patients occurring at 47.8 years.
  • #40
    https://link.springer.com/article/10.1007/s40615-024-01993-3
    Ameloblastomas are benign neoplasms of the jaw, but frequently require extensive surgery. […] The prognosis is often positive when treated early, an untreated ameloblastoma can lead to jaw damage, facial deformity, and even death due to complications from rare metastases, infection, and damage to critical structures in the head and neck. […] Data suggests a strong influence of racial factors on the incidence of ameloblastoma, with regards to size, Black patients with ameloblastoma trended higher and more data is needed to clearly elucidate any relationship between the tumor size and race, as other factors may influence the size (such as time to discovery). […] We found a statistically significant differences between the age of Black and White patients presenting with ameloblastomas. For ameloblastoma patients, the mean age of Black patients was 40.5 years and the mean age of White patients occurring at 47.8 years.
  • #41 Ameloblastoma – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK545165/
    Prognosis: Unfortunately, malignant ameloblastoma is too rare to estimate its prognosis. Due to its slow-growing nature, the malignancy may not occur for up to 10 years after initial resection of benign ameloblastoma. […] The complications of malignant ameloblastoma are usually due to its local invasiveness or distant metastatic spread. In terms of local complications, it can lead to progressive maxillary and mandibular distortion leading to deformity, pain, and malocclusion.
  • #42 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339
    Ameloblastoma is a rare, benign, but locally aggressive odontogenic tumor that originates from the epithelial cells involved in tooth development. […] The primary outcome was the recurrence rate after surgical treatment, while the secondary outcomes were the post-operative complications, quality of life, esthetic, and functional impairment. […] The quality of the included reviews ranged from critically low (three studies) to high (eight studies). […] The recurrence rate is about three-times more likely in the conservative treatment group compared to the radical treatment group, and this result is statistically significant. […] Despite the high recurrence rate, the latter was more appropriate in the case of smaller lesions and younger patients, due to better post-operative quality of life and reduced functional and esthetic impairments.
  • #43 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    Ameloblastoma is a rare, benign, but locally aggressive odontogenic tumor that originates from the epithelial cells involved in tooth development. […] The primary outcome was the recurrence rate after surgical treatment, while the secondary outcomes were the post-operative complications, quality of life, esthetic, and functional impairment. […] The recurrence rate is about three-times more likely in the conservative treatment group compared to the radical treatment group, and this result is statistically significant. […] Despite the high recurrence rate, the latter was more appropriate in the case of smaller lesions and younger patients, due to better post-operative quality of life and reduced functional and esthetic impairments. […] Based on the results of this overview, conservative treatment may be recommended as the first-line approach for intraosseous ameloblastoma not involving soft tissue.
  • #44
    https://link.springer.com/article/10.1007/s44178-024-00145-1
    There are numerous types of orbital tumors, among which orbital ameloblastoma is a rare metastatic benign tumor that often originates in the jaw and later metastasizes to the orbit. […] The prognosis of orbital ameloblastoma is relatively poor, but there is still hope. With aggressive treatment and close follow-up observation, patients may still have the possibility of achieving a longer survival period and a better quality of life. […] Ameloblastoma has the potential for malignant transformation in cases of frequent recurrence, similar to confirmed malignant tumors. […] Therefore, it is clinically considered as a borderline tumor that requires close monitoring and aggressive treatment. […] The metastasis of ameloblastoma is relatively rare, with only 2% of cases experiencing metastasis, usually diagnosed after retrospective analysis.
  • #45
    https://link.springer.com/article/10.1007/s44178-024-00145-1
    There are numerous types of orbital tumors, among which orbital ameloblastoma is a rare metastatic benign tumor that often originates in the jaw and later metastasizes to the orbit. […] The prognosis of orbital ameloblastoma is relatively poor, but there is still hope. With aggressive treatment and close follow-up observation, patients may still have the possibility of achieving a longer survival period and a better quality of life. […] Ameloblastoma has the potential for malignant transformation in cases of frequent recurrence, similar to confirmed malignant tumors. […] Therefore, it is clinically considered as a borderline tumor that requires close monitoring and aggressive treatment. […] The metastasis of ameloblastoma is relatively rare, with only 2% of cases experiencing metastasis, usually diagnosed after retrospective analysis.
  • #46
    https://link.springer.com/article/10.1007/s44178-024-00145-1
    A weakened immune system and cellular aging may increase the risk of tumor metastasis and malignant transformation, including the metastasis of ameloblastoma to the orbit. […] Although ameloblastoma is essentially a benign tumor, in some cases, tumor cells may undergo genetic mutations, leading to malignant transformation. […] Malignantly transformed tumor cells have stronger invasiveness and metastatic potential, making them more prone to orbital metastasis. […] The treatment of OAM requires close collaboration between ophthalmology, oncology, radiology, and other disciplines. In the future, interdisciplinary teams will place greater emphasis on collaboration and communication, jointly formulating comprehensive treatment plans to improve treatment outcomes and patients’ quality of life.
  • #47 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339
    Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] The recurrence rate after the conservative surgery is neither comparable nor lower than the radical surgery (p = 0.28). […] The primary finding of this umbrella review is that radical treatments for ameloblastoma are associated with significantly lower recurrence rates compared to conservative treatments. […] For clinicians, this review underscores the importance of weighing the benefits of lower recurrence rates against the risks of adverse outcomes, including esthetic and functional impairments. […] Further prospective studies are needed to establish the best treatment choice and follow-up period.
  • #48 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    The primary finding of this umbrella review is that radical treatments for ameloblastoma are associated with significantly lower recurrence rates compared to conservative treatments. […] Therefore, researchers are encouraged to focus on high-quality, prospective studies that can provide more definitive evidence on the comparative effectiveness and safety of radical versus conservative treatments.
  • #49 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339
    Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] The recurrence rate after the conservative surgery is neither comparable nor lower than the radical surgery (p = 0.28). […] The primary finding of this umbrella review is that radical treatments for ameloblastoma are associated with significantly lower recurrence rates compared to conservative treatments. […] For clinicians, this review underscores the importance of weighing the benefits of lower recurrence rates against the risks of adverse outcomes, including esthetic and functional impairments. […] Further prospective studies are needed to establish the best treatment choice and follow-up period.
  • #50 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339
    Conservative treatments, like enucleation, decompression, and marsupialization, were not considered as a definitive surgery, but they were useful only to lower the invasiveness of the second surgery. […] The recurrence rate after the conservative surgery is neither comparable nor lower than the radical surgery (p = 0.28). […] The primary finding of this umbrella review is that radical treatments for ameloblastoma are associated with significantly lower recurrence rates compared to conservative treatments. […] For clinicians, this review underscores the importance of weighing the benefits of lower recurrence rates against the risks of adverse outcomes, including esthetic and functional impairments. […] Further prospective studies are needed to establish the best treatment choice and follow-up period.
  • #51 The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review
    https://www.mdpi.com/2077-0383/13/17/5339?type=check_update&version=1
    The primary finding of this umbrella review is that radical treatments for ameloblastoma are associated with significantly lower recurrence rates compared to conservative treatments. […] Therefore, researchers are encouraged to focus on high-quality, prospective studies that can provide more definitive evidence on the comparative effectiveness and safety of radical versus conservative treatments.
  • #52
    https://link.springer.com/article/10.1007/s40615-024-01993-3
    While we did not find significance for size of ameloblastomas, the mean tumor size trended larger in the Black patients compared to the White patients. […] With respect to recurrence rate of 9 of the 129 total cases (7.0%), our rate is in agreement with the rate of 6.8% found in Nigeria where surgical resection was utilized as the primary treatment method. […] More data is needed to clearly elucidate any relationship between the tumor size and race, as factors such as time of discovery may impact the ultimate patient outcomes. […] In conclusion, we have shown the higher prevalence of ameloblastomas in Black patients within the southern United States over a ten-year period. Critically, we found significance between the age of Black and White patients, with Black patients presenting with ameloblastomas around 7 years earlier on average.