Histological features of ameloblastic carcinoma, a. Epithelial islands with artefactual empty central spaces showing a follicular pattern, resembling an ameloblastic epithelium with columnar peripheral cells. The stroma is highly collagenized (H&E, 400X), b. Sheets of malignant epithelial cells showing a peripheral layer formed by columnar cells, with ameloblastic characteristics, including reversal nuclear polarization. Cellular pleomorphism and atypical mitosis are evident (H&E, 400X), c. Sheets of malignant epithelial cells showing a central area of necrosis (H&E, 200X). d, Islands of well-defined malignant epithelium, with flattened peripheral cells separated by collagenized stroma. The islands are frequently separated from the adjacent stroma, suggesting a poor adherence of epithelium/stroma adherence interface (H&E, 200X).