TY - JOUR T1 - Ameloblastic Fibrosarcoma Arising in the Maxilla JF - Ochsner Journal JO - Ochsner J SP - 143 LP - 145 VL - 16 IS - 2 AU - Rachael R. Pillay AU - Arthur Bilski AU - Martin Batstone Y1 - 2016/06/20 UR - http://www.ochsnerjournal.org/content/16/2/143.abstract N2 - Background: Ameloblastic fibrosarcoma (AFS) is a rare odontogenic neoplasm of the jaw that usually arises de novo or through a malignant change in the mesenchymal component of a preexisting or recurrent benign fibroma. The majority of AFS cases reported in the literature arise in the mandible.Case Report: A 35-year-old male presented with an asymptomatic left maxillary mass that on imaging was found to be effacing most of his maxillary sinus. He underwent a left maxillectomy with free-flap reconstruction and adjuvant radiotherapy to the tumor bed.Conclusion: Wide local excision remains the treatment of choice for AFS, given the poor survival rates of patients with recurrent disease. However, long-term studies and follow-up are needed to elucidate the role of adjuvant therapies in the primary treatment of AFS. ER -