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Roth SH, Kelsch RD. Intraoral and extraoral hyperpigmentation and an expansile mandibular lesion. J Am Dent Assoc 2020; 151:870-875. [DOI: 10.1016/j.adaj.2019.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 10/16/2019] [Indexed: 11/25/2022]
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Costa V, Anbinder AL, Herrera F, Rodrigues N, Cavalcante ASR, Kaminagakura E. Central Odontogenic Fibroma with the Presence of Large Fibroblasts of Varying Morphology. Head Neck Pathol 2020; 15:663-667. [PMID: 32865727 PMCID: PMC8134584 DOI: 10.1007/s12105-020-01207-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 07/17/2020] [Indexed: 10/23/2022]
Abstract
A patient with an odontogenic fibroma (OF) with the presence of fibroblasts of varying morphology is presented, and the main microscopic differential diagnosis is discussed. Case report: a 51-year-old man complained of a swelling in the anterior region of the mandible. The panoramic radiograph showed a radiolucent, well-defined multilocular image, with displacement of the roots of the left mandibular incisors and canine. A cone beam computed tomography examination revealed a hypodense image, with delicate bone spicules inside, divergence of the tooth roots and destruction of the buccal cortical bone. Under the differential diagnosis of a desmoplastic ameloblastoma or a squamous odontogenic tumor, an incisional biopsy was made. Microscopically, deeply collagenized tissue with scarce odontogenic epithelium islands, large fibroblasts of varying morphology and calcified material was observed. A diagnosis of OF was made. Surgical removal was carried out, and the specimen was examined. Identical aspects were found, and the immunohistochemical reaction for pan-cytokeratin was carried out to identify the odontogenic epithelial cells. The definitive diagnosis of OF was confirmed, and we emphasize the importance of the correlation of all characteristics for a definitive diagnosis.
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Affiliation(s)
- Victor Costa
- grid.410543.70000 0001 2188 478XDepartment of Biosciences and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), Av. Eng. Francisco José Longo 777, São José dos Campos, 12245-000 Brazil
| | - Ana Lia Anbinder
- grid.410543.70000 0001 2188 478XDepartment of Biosciences and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), Av. Eng. Francisco José Longo 777, São José dos Campos, 12245-000 Brazil
| | - Fernanda Herrera
- grid.410543.70000 0001 2188 478XDepartment of Biosciences and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), Av. Eng. Francisco José Longo 777, São José dos Campos, 12245-000 Brazil
| | - Nayara Rodrigues
- grid.410543.70000 0001 2188 478XDepartment of Biosciences and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), Av. Eng. Francisco José Longo 777, São José dos Campos, 12245-000 Brazil
| | - Ana Sueli Rodrigues Cavalcante
- grid.410543.70000 0001 2188 478XDepartment of Biosciences and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), Av. Eng. Francisco José Longo 777, São José dos Campos, 12245-000 Brazil
| | - Estela Kaminagakura
- grid.410543.70000 0001 2188 478XDepartment of Biosciences and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), Av. Eng. Francisco José Longo 777, São José dos Campos, 12245-000 Brazil
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Jacinthe L, Jean-Hughes C, Mathilde L, Ugo O, Romain L, Fabrice C. Oral and skin manifestations of tuberous sclerosis complex. JOURNAL OF ORAL MEDICINE AND ORAL SURGERY 2019. [DOI: 10.1051/mbcb/2019015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Tuberous sclerosis complex is a genetic disease characterized by multisystemic hamartomas with variable and non-specific clinical manifestations. The disease is associated with mutations of genes encoding the proteins hamartin and tuberin. The hamartin/tuberin complex plays an anti-tumor function by inhibiting mammalian target of rapamycin. The diagnostic criteria for the disease were reviewed at a consensus conference in 2012. Evidence of mutations of tuberous sclerosis complex 1 or 2 genes has become a clinical and independent diagnostic criterion. Among the clinical criteria used, two oral criteria include the presence of three or more enamel pits and the presence of two or more oral fibromas. Several dermatological criteria are included within these criteria and are of interest in our specialty when these are localized at the cephalic extremity.
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Fahmy MD, Gupta A, Padilla RJ, Segura A, Brookes CD. Desmoplastic fibroma associated with tuberous sclerosis: case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 128:e92-e99. [PMID: 31078508 DOI: 10.1016/j.oooo.2019.03.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 02/05/2019] [Accepted: 03/06/2019] [Indexed: 11/24/2022]
Abstract
Tuberous sclerosis complex (TSC) is an autosomal dominant genetic disorder that affects the skin, brain, kidneys, and other organ systems. It may exhibit a wide spectrum of clinical manifestations. Desmoplastic fibroma (DF) of the jaw is a rare benign myofibroblastic neoplasm. Less than 10 cases of DF associated with TSC have been published previously. We report a new case of a maxillary DF in a 12-year-old girl with TSC. The presentation, diagnostic process, and management of this case are discussed, and the literature is reviewed for the additional cases of DF associated with TSC; 7 previously reported cases are summarized. Small sample size limits conclusions, but there may be differences in the presentations of DF of the jaws in patients with TSC vs those in the general population. DF of the jaws may be a manifestation of TSC, and the authors propose surveillance panoramic radiographs every 2 to 3 years in patients with TSC.
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Affiliation(s)
- Mina D Fahmy
- Resident, Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, Knoxville, Tennessee, USA
| | - Anish Gupta
- Former resident, Division of Oral and Maxillofacial Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Michigan Center for Oral Surgery, Southgate, Michigan, USA
| | - Ricardo J Padilla
- Kaneda Family Distinguished Associate Professor and Program Director of Advanced Dental Education in Oral and Maxillofacial Pathology, Department of Diagnostic Sciences, UNC School of Dentistry, Chapel Hill, North Carolina, USA
| | - Annette Segura
- Assistant Professor, Department of Pathology and Laboratory Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Carolyn Dicus Brookes
- Assistant Professor, Interim Chief and Residency Program Director, Division of Oral and Maxillofacial Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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Kennedy RA, Thavaraj S, Diaz-Cano S. An Overview of Autosomal Dominant Tumour Syndromes with Prominent Features in the Oral and Maxillofacial Region. Head Neck Pathol 2017; 11:364-376. [PMID: 28110467 PMCID: PMC5550396 DOI: 10.1007/s12105-017-0778-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Accepted: 01/07/2017] [Indexed: 12/16/2022]
Abstract
Several autosomal dominant inherited tumour syndromes demonstrate prominent features in the oral and maxillofacial region. Although multiple organ systems are frequently involved, the target organs more frequently affected are the skin (nevoid basal cell carcinoma syndrome, Brooke-Spiegler syndrome, Birt-Hogg-Dube syndrome and Muir-Torre syndrome), gastrointestinal tract (Peutz-Jegher syndrome and Gardner syndrome) or endocrine system (multiple endocrine neoplasia type 2b and hyperparathyroidism-jaw tumour syndrome). In some syndromes, the disease is multisystem with skin index lesions presenting in the head and neck (Cowden syndrome and tuberous sclerosis complex). The pertinent features of these syndromes are reviewed with a systems-based approach, emphasising their clinical impact and diagnosis.
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Affiliation(s)
- Robert A. Kennedy
- Head and Neck Pathology, King’s College London Dental Institute, Guy’s & St, NHS Foundation Trust, London, SE1 9RT UK ,Head and Neck Pathology, Guy’s Hospital, Floor 4, Tower Wing, Great Maze Pond, London, SE1 9RT UK
| | - Selvam Thavaraj
- Head and Neck Pathology, King’s College London Dental Institute, Guy’s & St, NHS Foundation Trust, London, SE1 9RT UK
| | - Salvador Diaz-Cano
- Department of Histopathology, King’s College Hospital, London, SE5 9R UK
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Abstract
Tuberous sclerosis complex (TSC) is a neurocutaneous syndrome, inherited as an autosomal dominant trait with a high incidence of sporadic cases and protean clinical expression, with a incidence of prevalence between 1 in 10,000 and 1 in 170,000. The cardinal features of TSC are skin lesions, convulsive seizures, and mental retardation. We report a sporadically occurring case of definite TSC in a young female who presented with oral and cutaneous manifestations without mental retardation or history of convulsive seizures, which to the best of our knowledge has not been reported so far.
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Affiliation(s)
- Sps Sodhi
- Department of Oral and Maxillofacial Surgery, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India
| | - Ramandeep Singh Dang
- Department of Neurosurgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Gursimrat Brar
- Department of Oral and Maxillofacial Surgery, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India
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Santosh ABR, Boyd D, Laxminarayana KK. Proposed Clinico-Pathological Classification for Oral Exophytic Lesions. J Clin Diagn Res 2015; 9:ZE01-8. [PMID: 26501030 DOI: 10.7860/jcdr/2015/12662.6468] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Accepted: 05/29/2015] [Indexed: 11/24/2022]
Abstract
Oral exophytic lesions often have proven to be diagnostically challenging due to the varied clinical presentation. The exophytic growth of the oral lesions is due to the type of pathology and histological changes. Careful clinical interpretation with a better histological understanding of exophytic lesions may ease the diagnosis from the differential diagnosis panel. The purpose of proposing classification system is to categorize the exophytic lesions of interest under specific clinical and/or histological explanation; and this will eventually lead to better understanding of the pathological condition that is described. To the best of our knowledge, there is no such classification system available for oral exophytic lesions and hence proposal of classification system is attempted in this study. Further, proposing a new classification system is not just to influence the academic contribution, but also to assist at greatest extent for diagnosis during clinical practice.
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Affiliation(s)
- Arvind Babu Rajendra Santosh
- Oral and Maxillofacial Pathologist and Microbiologist, Lecturer and Research Coordinator - Dentistry Programme, Faculty of Medical Sciences, The University of the West Indies , Mona campus, Kingston - 7, Jamaica, West Indies
| | - Doryck Boyd
- Diplomate AAOMFP, FICD Oral and Maxillofacial Pathologist. Associate Professor Vice Dean / Programme Director Doctor of Medical Dentistry College of Oral Health Sciences Joint Colleges of Medicine, Oral Health and Veterinary Sciences University of Technology , Jamaica 237 old Hope Road Kingston, 6, Jamaica, West Indies
| | - Kumaraswamy Kikeri Laxminarayana
- Professor, Department of Oral and Maxillofacial Pathology, Farooqia Dental College and Hospital, Rajiv Gandhi University of the Health Sciences , Mysore, Karnataka, India
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Woods TR, Cohen DM, Islam MN, Rawal Y, Bhattacharyya I. Desmoplastic fibroma of the mandible: a series of three cases and review of literature. Head Neck Pathol 2014; 9:196-204. [PMID: 25113037 PMCID: PMC4424202 DOI: 10.1007/s12105-014-0561-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Accepted: 08/03/2014] [Indexed: 11/24/2022]
Abstract
The desmoplastic fibroma (DF) is a rare, fibroblastic lesion of bone that histologically resembles the desmoid tumor of soft tissue. Although classified as benign, it frequently demonstrates aggressive behavior, often causing tooth mobility, extensive bone destruction, and has a moderate to high recurrence rate. We present three cases of DF in the mandible: the first in a 13 year old female involving the mandibular body in the region of teeth #s 27-#28, the second in a 57 year old female with a lesion apical to tooth #30, and the third in a 20-year-old female involving the left posterior mandible. Clinical, histologic, immunohistochemical (IHC) and radiographic features of this rare neoplasm are discussed. The challenges encountered in establishing an accurate diagnosis due to significant microscopic overlap with other spindle cell lesions are also detailed. Additionally, the findings of IHC stains including vimentin, smooth muscle actin, S-100 protein, β-catenin, HHF-35 and proliferation marker, Ki-67 on 3 cases are reported. The potential for misdiagnosis is high, especially in early lesions, since immunohistochemistry has been reported in literature to be inconsistent when differentiating DFs from other spindle cell lesions. A comparative review of DF and similar entities in the jaws with current considerations in treatment and prognosis is presented.
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Affiliation(s)
- T. R. Woods
- />Division of Oral and Maxillofacial Pathology, Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, PO Box 100414, JHMHC, Gainesville, FL 32610-0414 USA
| | - D. M. Cohen
- />Division of Oral and Maxillofacial Pathology, Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, PO Box 100414, JHMHC, Gainesville, FL 32610-0414 USA
| | - M. N. Islam
- />Division of Oral and Maxillofacial Pathology, Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, PO Box 100414, JHMHC, Gainesville, FL 32610-0414 USA
| | - Y. Rawal
- />Department of Oral and Maxillofacial Pathology, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN USA
| | - I. Bhattacharyya
- />Division of Oral and Maxillofacial Pathology, Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, PO Box 100414, JHMHC, Gainesville, FL 32610-0414 USA
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Milani S, Motallebnejad M. Tuberous sclerosis: a case report with peripheral ossifying fibroma. Indian J Dent 2013. [DOI: 10.1016/j.ijd.2013.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Krueger DA, Northrup H. Tuberous sclerosis complex surveillance and management: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 2013; 49:255-65. [PMID: 24053983 PMCID: PMC4058297 DOI: 10.1016/j.pediatrneurol.2013.08.002] [Citation(s) in RCA: 538] [Impact Index Per Article: 48.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2013] [Revised: 07/30/2013] [Accepted: 08/01/2013] [Indexed: 01/12/2023]
Abstract
BACKGROUND Tuberous sclerosis complex is a genetic disorder affecting every organ system, but disease manifestations vary significantly among affected individuals. The diverse and varied presentations and progression can be life-threatening with significant impact on cost and quality of life. Current surveillance and management practices are highly variable among region and country, reflective of the fact that last consensus recommendations occurred in 1998 and an updated, comprehensive standard is lacking that incorporates the latest scientific evidence and current best clinical practices. METHODS The 2012 International Tuberous Sclerosis Complex Consensus Group, comprising 79 specialists from 14 countries, was organized into 12 separate subcommittees, each led by a clinician with advanced expertise in tuberous sclerosis complex and the relevant medical subspecialty. Each subcommittee focused on a specific disease area with important clinical management implications and was charged with formulating key clinical questions to address within its focus area, reviewing relevant literature, evaluating the strength of data, and providing a recommendation accordingly. RESULTS The updated consensus recommendations for clinical surveillance and management in tuberous sclerosis complex are summarized here. The recommendations are relevant to the entire lifespan of the patient, from infancy to adulthood, including both individuals where the diagnosis is newly made as well as individuals where the diagnosis already is established. CONCLUSIONS The 2012 International Tuberous Sclerosis Complex Consensus Recommendations provide an evidence-based, standardized approach for optimal clinical care provided for individuals with tuberous sclerosis complex.
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Affiliation(s)
- Darcy A Krueger
- Division of Neurology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
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Abstract
Desmoplastic fibroma (DF) is a benign but locally aggressive tumor usually recognized as an intraosseous counterpart of soft tissue fibromatosis in both gnathic and extra-gnathic sites. The most common site is mandible followed by pelvis and long bones. Maxilla has been reported to be involved very rarely. Desmoplastic fibroma is recently being considered to be one of the oral manifestations of tuberous sclerosis rather than a coincidental finding. We report an unusual case of a girl with a previous diagnosis of tuberosclerosis who presented at 8 years with an oral lesion diagnosed as desmoplastic fibroma.
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Affiliation(s)
- Sandeep Tandon
- Government Dental College & Hospital, Department of Pediatric Dentistry, Jaipur, India
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12
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Multiple impacted teeth and associated pericoronal tissue abnormality in tuberous sclerosis complex. J Oral Maxillofac Surg 2012; 70:2581-4. [PMID: 22285332 DOI: 10.1016/j.joms.2011.12.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2011] [Revised: 11/22/2011] [Accepted: 12/01/2011] [Indexed: 11/27/2022]
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Central odontogenic fibroma: new findings and report of a multicentric collaborative study. ACTA ACUST UNITED AC 2011; 112:349-58. [DOI: 10.1016/j.tripleo.2011.03.021] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2011] [Revised: 02/26/2011] [Accepted: 03/06/2011] [Indexed: 11/18/2022]
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14
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Oral and neurocutaneous phenotypes of familial tuberous sclerosis. ACTA ACUST UNITED AC 2011; 111:87-94. [DOI: 10.1016/j.tripleo.2010.07.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2010] [Revised: 06/28/2010] [Accepted: 07/02/2010] [Indexed: 11/23/2022]
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Khonsari RH, Lepourry J, Corre P. [Hamartomatous and pluritissular tumors]. ACTA ACUST UNITED AC 2009; 110:340-6. [PMID: 19931105 DOI: 10.1016/j.stomax.2009.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2009] [Accepted: 08/17/2009] [Indexed: 10/20/2022]
Abstract
Hamartoma are defined by the benign proliferation of cells normally occurring in the affected tissue or organ. The structure of the hyperplasic region can greatly differ from the normal histology of the affected tissue, due to the quantity, the layout, or the maturation state of tumoral cells. Hamartoma of the maxilla and mandible are a heterogeneous group of diseases. They nevertheless share two major therapeutic characteristics: surgical treatment of the mass effect and the deformations induced by tumoral growth and mandatory screening for associated extra-facial tumors.
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Affiliation(s)
- R H Khonsari
- Service de chirurgie maxillofaciale et stomatologie, CHU de Nantes, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France.
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Fleury RN, Damante JH, Soares CT, Sant'Ana E, Mello EJF, Moreira CR. Malignant fibrous histiocytoma (undifferentiated high-grade pleomorphic sarcoma) occurring in tuberous sclerosis: a case report. ACTA ACUST UNITED AC 2007; 103:e54-9. [PMID: 17395060 DOI: 10.1016/j.tripleo.2006.05.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2005] [Revised: 03/13/2006] [Accepted: 05/17/2006] [Indexed: 11/15/2022]
Abstract
Tuberous sclerosis is an autosomal dominant genetic disorder that is characterized by the early development of hamartomas, malformations, and congenital tumors of the nervous system, skin, kidneys, lungs, and heart. Variable clinical expressivity has been reported and more than one gene can be responsible for the disorder. Benign neoplasias accompanying the syndrome are common but malignant neoplasias are rare, being generally mesenchymal and possibly affecting the jaws. We report here a clinical case of a malignant fibrous histiocytoma (undifferentiated high-grade pleomorphic sarcoma) of the mandible in a patient with tuberous sclerosis.
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Celenk P, Alkan A, Canger EM, Günhan O. Fibrolipomatous hamartoma in a patient with tuberous sclerosis: Report of a case. ACTA ACUST UNITED AC 2005; 99:202-6. [PMID: 15660093 DOI: 10.1016/j.tripleo.2004.07.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Tuberous sclerosis is a rare congenital disorder with an incidence of 1 in 6000 births. The classic triad is seizure, mental deficiency, and angiofibromas. Orofacial manifestations include fibrous hyperplasia, hemangioma, bifid uvula, cleft lip and palate, macroglossia, high arched palate, and enamel defects. Benign tumors of the jaws including desmoplastic fibroma, calcifying odontogenic tumor, and odontogenic myxoma have been recently reported in tuberous sclerosis. This case report adds fibrolipomatous hamartoma of the mandible to this list.
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Affiliation(s)
- Peruze Celenk
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey
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Central odontogenic fibroma, myxoma (odontogenic myxoma, fibromyxoma), and central odontogenic granular cell tumor. Oral Maxillofac Surg Clin North Am 2004; 16:359-74. [DOI: 10.1016/j.coms.2004.03.004] [Citation(s) in RCA: 56] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Vargas-Gonzalez R, San Martin-Brieke W, Gil-Orduña C, Lara-Hernandez F. Desmoplastic fibroma-like tumor of maxillofacial region associated with tuberous sclerosis. Pathol Oncol Res 2004; 10:237-9. [PMID: 15619647 DOI: 10.1007/bf03033768] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2004] [Accepted: 09/18/2004] [Indexed: 10/20/2022]
Abstract
Desmoplastic fibroma is a rare primary tumor of bone that histologically and biologically mimics the extra-abdominal desmoid tumor of soft tissue. It usually presents in patients during the first three decades of life and often involves the mandible or long bones of the skeleton. Its clinical behavior is characterized by a locally aggressive, infiltrating, and destructing course, often with invasion of surrounding tissues but without metastasis. We present herein the clinicopathological features of a desmoplastic fibroma-like tumor involving the left maxillofacial region in a 14-year-old Hispanic boy with tuberous sclerosis.
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Affiliation(s)
- Roberto Vargas-Gonzalez
- Escuela de Medicina Universidad Popular Autónoma del Estado de Puebla and Department of Pathology, Hospital Para el Niño Poblano, Puebla, México.
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Barron RP, Kainulainen VT, Forrest CR, Krafchik B, Mock D, Sàndor GKB. Tuberous sclerosis: clinicopathologic features and review of the literature. J Craniomaxillofac Surg 2002; 30:361-6. [PMID: 12425991 DOI: 10.1054/jcms.2002.0322] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Tuberous sclerosis is a hamartoneoplastic syndrome, which may involve multiple organ systems. Oral hard tissue manifestations of the syndrome have been described in the literature only as recently as 1955. Patients who presented with clinical manifestations of tuberous sclerosis did not routinely undergo oral surveys to rule out 'lesions', and consequently data on 'lesions' in the maxillofacial complex is scant. Ten cases have been found in the English language literature, which describe maxillofacial 'lesions', which may be tumours, new growths, neoplasms or overgrowths occurring in patients diagnosed with tuberous sclerosis. PURPOSE To review the literature for all maxillofacial lesions associated with tuberous sclerosis and to present an eleventh case of a patient with a maxillofacial lesion diagnosed as having tuberous sclerosis. RESULTS Eleven cases were found with maxillofacial fibroblastic lesions associated with tuberous sclerosis. These lesions were all fibrous benign neoplasms found in the maxillofacial bony complex. CONCLUSIONS Maxillofacial fibroblastic lesions in tuberous sclerosis have various histopathological presentations, some of which may be difficult to differentiate. Consequently, close microscopic examination of these lesions is necessary so that adequate surgical treatment is provided.
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Affiliation(s)
- R P Barron
- Department of Oral and Maxillofacial Surgery, University of Toronto, Ontario, Canada
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