Guía de práctica clínica para facilitar el diagnóstico presuntivo de los arcinomas odontogénicos malignos de mayor prevalencia en América Latina

Abstract

Introduction: ameloblastic carcinoma and primary intraosseous carcinoma are the most diagnosed malignant odontogenic tumors in Latin America. Objective: to provid the dentist with an algorithm that facilitates the presumptive diagnosthe ameloblastic and the primary intraosseous carcinoma and guiding clinicians and head and neck surgeons in making therapeutic decisions was the objective of this review. Materials and methods: bibliographic review: Results: a clinical practice guideline was developed, under the Agree II regulations, based on evidence published in the last 20 years and under the question: Is adjuvant radiotherapy a survival benefit for patients diagnosed with primary intraosseous and ameloblastic carcinoma compared to from chemotherapy? Adjuvant treatments would provide a benefit in the survival of ameloblastic carcinoma but not in the case of primary intraosseous carcinoma. Conclusions: there’s no standardized treatment for the tumors reviewed; the available evidence recommends early surgery with wide resection as the best approach in both tumors.