An Unusual Case Report on Antrochoanal Polyp in Follicular Ameloblastoma of Maxilla

Abstract

The present case report highlights an Antrochoanal Polyp in an Unusual Case of Follicular Ameloblastoma of Maxilla. A well-known rare clinical entity known to have originated from odontogenic cells is the maxillary follicular ameloblastoma. Although ameloblastoma can develop from dental epithelial remnants, it is uncommon for ameloblastoma to develop in the maxilla with an epicentre from the maxillary antrum rather than the alveolar process. Here we report a rare presentation of this tumor as antrochoanal polyp with epicenter in maxillary antrum in a 45-year-old lady who presented with unusual complaints of dry cough with a history of 6 months along with hypothyroidism. Interestingly, the presenting symptom of the patient being only dry cough (without any other nasal symptoms such as nasal blockage, facial fullness, facial heaviness) is an unusual presentation. Ameloblastoma of the maxilla may present early with an antrochoanal polyp, so this condition needs to be considered in the differential diagnosis. As a result, careful histological examination is essential for early detection and subsequent management by appropriate en-bloc resection. Additional meticulous histology is also necessary, as is careful follow-up.