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Malignant Ameloblastoma Metastatic to the Lungs 29 Years After Primary Resection*: A Case Report

Lawrence M. Ciment, MD, FCCP; Ari J. Ciment, MD
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*From the Mount Sinai Hospital (Dr. L. Ciment), Miami Beach, FL; and Robert Wood Johnson Medical Center (Dr. A. Ciment) New Brunswick, NJ.

Correspondence to: Lawrence M. Ciment, MD, FCCP, 3420 Chase Ave, Miami Beach, FL 33140;



Chest. 2002;121(4):1359-1361. doi:10.1378/chest.121.4.1359
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We describe a case of a 55-year-old man presenting with a metastatic malignant ameloblastoma 29 years after the primary tumor was resected. This represents the longest period between initial diagnosis and first subsequent metastasis recorded as a case report. This case illustrates distinctions between the terms metastatic and malignant; it also highlights the difficulties derived from the accumulation of data by new diagnostic modalities (electron beam CT and positron emission tomography) and their integration into assessment algorithms.

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