An unusual case of ameloblastoma which depicts cystic follicles contai
ning orthokeratin, parakeratin, desquamated epithelium and necrotic ma
terial with dystrophic calcification is presented. The presence of ame
loblast-like cells confirms the diagnosis of an ameloblastoma. However
, certain features resembled those of the keratoameloblastoma and othe
rs, less convincively, the papilliferous keratoameloblastoma The exten
sive keratinisation in this tumour and in the aforementioned neoplasms
raises the question whether they represent variants of the acanthomat
ous ameloblastoma.