Evidence map›Paper›PMID 42851511›Full record

ArticleFrontiers in oncology2026

Ameloblastic carcinoma with isolated supramandibular lymph node metastasis in an adolescent: a case report and review of the literature.

Yuxin Ma, Chunyao Chen, Ying Li, Wenhui Kong, Linlin Wang

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yuxin Ma *Department of Medical Imaging, Jinan Stomatological Hospital, Jinan, Shandong, China.
Chunyao Chen *Central Laboratory, Jinan Key Medical and Health Laboratory of Oral Diseases and Tissue Regeneration, Jinan Key Laboratory of Oral Diseases and Tissue Regeneration, Shandong Provincial Key Medical and Health Laboratory of Oral Diseases and Tissue Regeneration, Jinan Stomatological Hospital., Jinan, Shandong, China.
Ying LiDepartment of Medical Imaging, Jinan City People's Hospital., Jinan, Shandong, China.
Wenhui KongCentral Laboratory, Jinan Key Medical and Health Laboratory of Oral Diseases and Tissue Regeneration, Jinan Key Laboratory of Oral Diseases and Tissue Regeneration, Shandong Provincial Key Medical and Health Laboratory of Oral Diseases and Tissue Regeneration, Jinan Stomatological Hospital., Jinan, Shandong, China.
Linlin WangDepartment of Medical Imaging, Jinan Stomatological Hospital, Jinan, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To report a rare case of maxillary ameloblastic carcinoma (AC) with buccofacial lymph node metastasis in a 17-year-old male patient, describe its clinical, radiological, and pathological progression, and provide clinical references for routine patient management. Case description: The patient presented to our hospital with suspected recurrent peripheral ameloblastoma (PA). Cone-beam computed tomography (CBCT) revealed an osteolytic lesion in the right maxilla. Intraoperative frozen section pathology confirmed the diagnosis of ameloblastoma, extended tumorectomy, segmental maxillectomy, and submental island flap reconstruction were conducted. Histopathological examination confirmed the diagnosis of AC. Eight months after segmental maxillectomy, a soft tissue mass overlying the right mandibular buccal region rapidly enlarged. Contrast-enhanced CT revealed heterogeneous enhancement of the lesion with internal necrotic components. Intraoperative pathological examination suggested a malignant tumor. The patient subsequently underwent reoperation: extended resection of the right buccal mass, right suprahyoid lymphadenectomy, and right cervical lymph node dissection. Postoperative pathological examination confirmed AC with supramandibular lymph node metastasis. Following lymph node dissection, the patient received radiotherapy and chemotherapy for two months. At the 6-month follow-up, imaging and clinical examinations revealed no evidence of tumor recurrence or distant metastatic lesions. The patient is currently under regular long-term surveillance to monitor disease progression. Conclusion: This study reports a case of maxillary AC with isolated supramandibular lymph node metastasis. To our knowledge, this represents the first documented case. Clinicians should be alert to occult buccofacial lymph node metastasis in patients with AC invading the buccal soft tissues, and multimodal imaging is recommended for complete preoperative tumor staging. Individualized combined buccofacial and cervical lymph node dissection may improve locoregional control in patients complicated with buccofacial lymph node metastasis. This study can provide a reference for the identification of rare metastatic patterns and individualized diagnosis and treatment of AC.

Indexed as

adolescentameloblastic carcinomaCBCTmaxillaodontogenic tumor

Identifiers

PMID42851511
PMCPMC13645601

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