Keratoameloblastoma of the Jaw Bones: Description of 2 Rare Cases and Cytokeratin Profile.
Felipe Barreto Lemos, Paulo Tambasco De Oliveira, Flávia Caló de Aquino Xavier et al.
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Case in brief
Two adult men had keratoameloblastomas involving the jaw bones. Histology showed fibrous stroma containing keratinizing follicular cysts with central parakeratin plugs, combining features resembling ameloblastoma and odontogenic keratocyst. Immunohistochemistry showed variable positivity for the cytokeratins studied, except CK8 and CK18, which were negative; the Ki-67 proliferation index was low. Both patients remained under follow-up without recurrence after 4 years.
What made this case unusual
The lesions combined ameloblastoma-like features with keratinizing cystic formations resembling an odontogenic keratocyst, creating a histopathologic overlap relevant to diagnosis.
Diagnostic / clinical pearl
Keratoameloblastoma can show both ameloblastoma-like and odontogenic keratocyst-like morphology; the reported cytokeratin profile was variable, with CK8 and CK18 negative.