amelo dari kista
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7/30/2019 Amelo Dari Kista
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Ameloblastoma is characterized by an unencapsulated growth of epithelial
nests and sheets, arranged around a central zone of loosely spaced cells
resembling the stellate reticulum of the enamel organ. The epithelial cells are
columnar or cuboidal cells with small bland nuclei polarized away from the
basement membrane. A condition of unerupted third molar is usually considered
as the source of the ameloblastoma, whether the tumor developed since the
odontogenesis happened or arise from the dentigerous cyst before transformed
into a real ameloblastoma. (Barnes, 2009)
Since 1925, many had reported the development of ameloblastoma within
the walls of odontogenic cysts and the most commonly cited was the dentigerous
cyst. There have been many reports of ameloblastomas apparently arising from
the epithelium of what initially was considered an odontogenic cyst. Numerous
clinical reports have attempted to show such an association in dentigerous cysts,
and some authors believe that approximately 20% of ameloblastoma arise in
dentigerous cysts. (Piattelli et al., 2006)
As the dentigerous cyst completely formed the wall (which has the
epithelium line part) and the lumen of cyst, it might get the secondary chronic
infection. The infection, which came from the outside of the body, started to
invade the epithelium lining of the cyst. As a response to the infection, dense
inflammatory cell infiltrate where the stellate-reticulum like epithelium was a
result of intercellular oedema arising from the presence of chronic inflammation
in the area. The epithelium became hyperplastic. Because of the constant exposure
of the infection, the epithelium started to degenerated, forming the islets of
epithelium. This is the forming of central part of the ameloblastoma or theepithelial islets with stellate reticulum like cells in the central of each islet. (Shear
and Speight, 2007)
Authors had suggested that cases of small islands of ameloblastomatous
epithelium within the cystic epithelium of a lesion is surely a transformation from
the odontogenic cyst to an ameloblastoma. Thus, the ameloblastoma arises from
an odontogenic cyst is now commonly known as the unicystic ameloblastoma.
(Masthan et al, 2011)
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Sumber :
Piattelli A, Iezzi G, Fioroni M, Santinelli A, Rubini C. 2006. Ki-67 expression in
dentigerous cysts, unicystic ameloblastomas, and ameloblastomas arising fromdental cysts. J of Endodontics 28: 55–58.
K. M. K. Masthan, S. Rajkumari1, M. Deepasree, N. Aravindha Babu and S.
Leena Sankari. 2011. Neoplasms associated with odontogenic cysts. Journal of
Dentistry and Oral Hygiene Vol. 3(10), pp.123-130
Shear, Mervyn and Speight,Paul. 2007. Cysts of the Oral and Maxillofacial
Regions 4th ed. Oxford : Blackwell. pp 73-75
Barnes, Leon. 2009. Surgical Pathology of the Head and Neck. 3rd ed. New York :
Informa Healthcare. Page 69