Role of Apoptotic Biomarkers in Ameloblastoma and Dental Follicle

Objectives Ameloblastoma is an odontogenic neoplasm with locally aggressive behavior. Fas and FasL play important roles in apoptotic pathways. The aim of this study was to determine the possible role of expression of apoptotic pathways (Fas and FasL) in human ameloblastoma and the relationship of apoptosis with the clinical biological characteristics of ameloblastoma. Methods In this descriptive retrospective study, we investigated the anti-Fas and anti-FasL antibody expression in 11 dental follicles and 56 ameloblastoma specimens (35 conventional, 15 unicystic and 6 ameloblastic carcinoma samples) by immunohistochemical (IHC) staining and polymerase chain reaction (PCR). The percentage of positive cells was calculated by using the Mann-Whitney U test and Kruskal-Wallis test. Results The rate of expression of markers was significantly lower in dental follicles than all subtypes of ameloblastoma (P=0.01 for Fas, and P=0.0001 for FasL). The FasL proportional score was significantly higher in conventional ameloblastoma than in unicystic ameloblastoma and ameloblastic carcinoma (P=0.003). There was no significant relationship between the type of ameloblastoma and expression of Fas. Conclusion This study shows that the process of apoptosis in ameloblastomais a sign of behavioral change in odontogenic epithelial cells especially in conventional ameloblastoma and that the apoptotic factors may not play an effective role in the malignancy of ameloblastoma

Keratoacanthoma: A Case Report, An Update, and Review of Literature

Objectives This study aimed to review and briefly discuss the literature about keratoacanthoma (KA) and present a case of KA of the facial skin under the right eye with over 6-months of follow-up after removal. Case: An 86-year-old healthy man was referred to a private clinic with a 5-6-week history of a rapidly growing, crateriform nodule with a central hemorrhagic crust on the facial skin under the right eye. Surgical excision was the treatment chosen to differentiate the lesion from squamous cell carcinoma (SCC). Thereafter, the lesion was completely excised. Histopathological analysis confirmed the diagnosis of KA. During over 6 months of follow-up after removal of the lesion, the patient was completely satisfied with the process of treatment, and no recurrence occurred. Conclusion Solitary KA lesions are commonly found on sun-exposed skin in older adults, similar to our case. Early diagnosis and treatment could reduce the risk of malignancy and recurrence. Moreover, close follow-up of patients with a history of KA is needed, because the possibility of developing a new KA lesion, due to trauma or medical and cosmetic procedures, especially on the UV damaged skin, still exists