oa South African Medical Journal - Jaw tumours : III : adamantinoma



Adamantinoma must be considered in the differential diagnosis of all jaw tumours, especially in the Bantu. Many conditions appear to be one thing and turn out to be another. Histological types of adamantinoma are numerous. Cystic, mixed and solid forms occur. The upper jaw adamantinoma is usually solid and behaves as a malignant tumour. The clinical types of adamantinoma can be divided into:- (a) Peripheral or alveolar type. (b) Central adamantinoma with a thin rim of the horizontal ramus. (c) Symphysial adamantinoma. (d) Adamantinoma of the ascending ramus. (e) Massive adamantinoma. (f) Upper jaw adamantinoma. The principles of treatment vary according to the clinical types and reconstruction must go hand in hand with excision.


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