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Kochaji N, Darwich K, Ahmad M, Mahfuri A. Bilateral ossifying fibroma affecting the jaws: Literature review, rare case report. Int J Surg Case Rep 2023; 106:108283. [PMID: 37146555 DOI: 10.1016/j.ijscr.2023.108283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 04/25/2023] [Accepted: 04/27/2023] [Indexed: 05/07/2023] Open
Abstract
BACKGROUND Ossifying fibroma (OF) is a benign lesion could occur in different areas of the body and contain fibers, cells and non-organic materials in non specific amounts. It is growing could be slow or rapid and according to this an array of treatment options must be considered to avoid future complications. CASE PRESENTATION In this article, we present a case report of a 40-year-old female patient who visited the dentist with the intention of having a normal check up. Bilateral lesion was observed in the mandible, the patient had no medical history of trauma. The lesion was removed surgically and analyzed histologically and the result was ossifying fibroma in both sides. DISCUSSION Ossifying fibroma is a rare tumor to be found in the oral cavity, and the family of fibro-osseous lesions (FOLs) has in general the same pathologic features and differ from each other in clinical view so the definitive diagnosis is based on mixture of all these elements. The treatment is complete surgical excision. CONCLUSIONS AND LITERATURE REVIEW 11 cases were discovered and archived since 1968 until now, the distribution of cases is nearly equal in the oral cavity, and the infection of females is higher than males.
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Affiliation(s)
- Nabil Kochaji
- Oral Histology & Pathology Department, Damascus University, Damascus, Syria.
| | - Khaldoun Darwich
- Oral and Maxillofacial Surgery Department, Damascus University, Damascus, Syria
| | - Muhammad Ahmad
- Oral Histology & Pathology Department, Damascus University, Damascus, Syria
| | - Ali Mahfuri
- Oral and Maxillofacial Surgery Department, Damascus University, Damascus, Syria
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2
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Muacevic A, Adler JR, Makunike-Mutasa R. Ossifying Fibroma in the Maxilla and Mandible: A Case Report With a Brief Literature Review. Cureus 2023; 15:e34257. [PMID: 36843790 PMCID: PMC9957536 DOI: 10.7759/cureus.34257] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2023] [Indexed: 01/28/2023] Open
Abstract
Fibro-osseous lesions in the jaw bones include fibrous dysplasia, ossifying fibroma (OF), cemento-ossifying fibroma, florid osseous dysplasia, and focal osseous dysplasia. OF is the most common fibro-osseous tumor that presents as a slow-growing well-encapsulated benign neoplasm composed of varying amounts of bone or cement-like tissue in a fibrous stroma well-demarcated from the adjacent normal bone. OF is most common in the jaw bones, with a predilection for the mandible. OF usually occur as solitary lesions and rarely as multiple lesions in a patient. We present clinical and radiologic features, histopathology, and surgical management of a rare case with large synchronous OFs in the mandible and maxilla and a brief review of the literature.
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3
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Makkad RS, Naidu GS, Nagi R, Sagtani A, Patil S, Shrivastava S. Multiple fibro-osseous lesions of the jaws: A report of a rare case with a literature review. Imaging Sci Dent 2022; 51:461-466. [PMID: 34988008 PMCID: PMC8695463 DOI: 10.5624/isd.20210021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/22/2021] [Accepted: 05/14/2021] [Indexed: 11/18/2022] Open
Abstract
Fibro-osseous lesions are a poorly defined category of conditions affecting the jaws and craniofacial bones, and include developmental lesions, reactive or dysplastic lesions, and neoplasms. Fibrous dysplasia and ossifying fibroma are the 2 main types of fibro-osseous lesions affecting the jaw, and ossifying fibroma is a true benign neoplasm of the bone-forming tissues with several well-recognized variants ranging from innocuous to extensively aggressive lesions. However, multiple simultaneous fibro-osseous lesions of the jaw bones involving all quadrants are exceedingly rare. One such case diagnosed by conventional radiography and computed tomography is discussed here.
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Affiliation(s)
- Ramanpal Singh Makkad
- Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India
| | - Giridhar S Naidu
- Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India
| | - Ravleen Nagi
- Department of Oral Medicine and Radiology, Saveetha Dental College, Chennai, Tamil Nadu, India
| | - Alok Sagtani
- Department of Oral and Maxillofacial Surgery, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
| | - Santosh Patil
- Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India
| | - Swatantra Shrivastava
- Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India
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Guddadararangiah S, Ram Shetty S, Al-Bayatti S, Narasimhan S. Large cemento-ossifying fibroma of the mandible involving the infratemporal and parapharyngeal spaces. Heliyon 2021; 7:e07594. [PMID: 34337187 PMCID: PMC8318853 DOI: 10.1016/j.heliyon.2021.e07594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 04/20/2021] [Accepted: 07/13/2021] [Indexed: 11/02/2022] Open
Abstract
Cemento-ossifying fibroma is a benign fibro-osseous lesion of the jaws. Cemento-ossifying fibroma develops from the periodontal ligament and contains multipotent stem cells that can form cementum, lamellar bone, and/or fibrous tissue. These tumours occur in the third and fourth decades of life with higher predilection of occurrence in the female population and seldom attain a large size. We report a rare case of cemento-ossifying fibroma in a 45-year-old man involving the body of the mandible and extending into the para-pharyngeal and infratemporal region. This article describes the clinical, radiographic, and histological features of a large cemento-ossifying fibroma of the mandible.
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Affiliation(s)
- Shrihari Guddadararangiah
- Department of Oral Medicine & Radiology, Krishnadevaraya Dental College and Hospital, Yelahanka, Bangalore, Karnataka, India
| | - Shishir Ram Shetty
- Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, United Arab Emirates
| | - Saad Al-Bayatti
- Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, United Arab Emirates
| | - Sangeetha Narasimhan
- Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, United Arab Emirates
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5
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Regarding the Use of the Term "Cementum" in Pathologic Proliferations. Head Neck Pathol 2018; 12:629-630. [PMID: 29445998 PMCID: PMC6232223 DOI: 10.1007/s12105-018-0888-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 01/14/2018] [Indexed: 10/18/2022]
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Raubenheimer EJ, Noffke CE, Boy SC. Osseous Dysplasia with Gross Jaw Expansion: A Review of 18 Lesions. Head Neck Pathol 2016; 10:437-443. [PMID: 27161103 PMCID: PMC5082044 DOI: 10.1007/s12105-016-0720-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Accepted: 04/27/2016] [Indexed: 01/09/2023]
Abstract
Fourteen cases with 18 grossly expansive lesions diagnosed over a period of 15 years as either "familial gigantiform cementoma" or "osseous dysplasia with jaw expansion" in an African population sample were reviewed. Eight lesions occurred in the anterior mandible, the maxilla was affected by four, three patients presented with more than one lesion and the most common associated pathologies were tooth displacement, conventional non expanding florid osseous dysplasia and simple bone cyst. No history of similar lesions in relatives of the diseased were recorded. The radiolucent fibrous component contained globular bone deposits and cellular osteoid with trabecular differentiation which matured into radiodense mineralized masses. Resorption of the cellular bone created cavities which are proposed to represent the early stage of simple bone cyst formation. It is recommended that "expansive osseous dysplasia" replace the out-dated term "familial gigantiform cementoma". The differential diagnoses of expansive osseous dysplasias are discussed.
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Affiliation(s)
| | - Claudia E. Noffke
- Radiology, School of Oral Health Sciences, SMU, Pretoria, 0208 South Africa
| | - Sonja C. Boy
- Pathology, School of Oral Health Sciences, SMU, Pretoria, 0208 South Africa
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7
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Tyagi A, Chaudhary S, Gupta V. Ipsilateral maxillo-mandibular ossifying fibroma. J Maxillofac Oral Surg 2015; 14:127-32. [PMID: 25838685 DOI: 10.1007/s12663-012-0366-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2011] [Accepted: 03/05/2012] [Indexed: 12/01/2022] Open
Abstract
Ossifying fibroma is a benign fibro-osseous lesion which occurs at various locations in maxillofacial region. A synchronous presentation of this lesion in both, the maxilla and the mandible is a rare occurrence. The present article reports a case of ossifying fibroma in a 45-year-old woman who manifested lesions in the right maxilla and mandible. The clinico-radiologic and histopathologic modalities of diagnosing this entity are evaluated and discussed.
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Affiliation(s)
- Amit Tyagi
- I.P. Dental College, Ghaziabad, UP India
| | | | - Vineet Gupta
- Krishna Dental College and Hospital, Mohan Nagar, Ghaziabad, UP India
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Crijns CP, Vlaminck L, Verschooten F, van Bergen T, De Cock HE, Huylebroek F, Pool R, Gielen I. Multiple mandibular ossifying fibromas in a yearling Belgian Draught horse filly. EQUINE VET EDUC 2014. [DOI: 10.1111/eve.12246] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- C. P. Crijns
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Ghent University; Merelbeke Belgium
| | - L. Vlaminck
- Department of Surgery and Anaesthesiology of Domestic Animals; Ghent University; Merelbeke Belgium
| | - F. Verschooten
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Ghent University; Merelbeke Belgium
| | - T. van Bergen
- Department of Surgery and Anaesthesiology of Domestic Animals; Ghent University; Merelbeke Belgium
| | - H. E. De Cock
- Medvet/Veterinary Pathology Services; Antwerpen Belgium
| | | | - R. Pool
- Department of Pathobiology; Texas A&M University; College Station USA
| | - I. Gielen
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Ghent University; Merelbeke Belgium
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9
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Wang TT, Zhang R, Wang L, Chen Y, Dong Q, Li TJ. Two cases of multiple ossifying fibromas in the jaws. Diagn Pathol 2014; 9:75. [PMID: 24678936 PMCID: PMC3974450 DOI: 10.1186/1746-1596-9-75] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Accepted: 02/07/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The clinicopathologic characteristics of multiple ossifying fibroma (OF) are unclear due to the condition's rarity, making diagnosis challenging. Sporadic multiple OFs must be distinguished from hyperparathyroidism-jaw tumour syndrome (HPT-JT) related OF and other fibro-osseous lesions. METHODS Multiple OF cases were identified from ossifying fibroma cases. Clinical data including age, sex, anatomic site, radiographic features, clinical impression, treatment and available follow-up data as well as serum calcium, phosphorus, and parathyroid hormone (PTH) were recorded. GNAS and HRPT2 genetic mutations were examined in the two present cases. Case reports of sporadic multiple ossifying fibroma and HPT-JT-related OF were also reviewed. RESULTS The two present cases were confirmed as sporadic multiple OF, with no genetic GNAS and HRPT2 mutations found. The incidence of sporadic multiple ossifying fibroma was 2.0% (2/102). The total 18 sporadic multiform OF cases were characterized as followed: 13 (72.2%) female; 5 (27.8%) male; mean age 28.6 years; 2/16 (11.1%) cases only in the mandible; 4/18 (22.2%) cases only in the maxilla; and 12/18 (66.7%) cases in both the maxilla and mandible. Radiographically, the lesions were radiolucent in 5/18 (27.8%) cases and mixed density in 13/18 (72.2%) cases. Along with 24 cases of HPT-JT related OF were reviewed, sixteen (66.7%) patients were diagnosed with a single lesion, and 8 patients (33.3%) were diagnosed with multiple jaw lesions. CONCLUSIONS Sporadic multiple OFs are very rare, but must be distinguished from HPT-JT related OF. We strongly recommend that patients diagnosed with multiple ossifying fibromas receive serum PTH testing and mutation screening of HRPT2. VIRTUAL SLIDES http://www.diagnosticpathology.diagnomx.eu/vs/1194507146115753.
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Affiliation(s)
| | | | - Lin Wang
- Department of Oral Medicine, Hebei United University, School and Hospital of Stomatology, Tangshan, 82 South Construction Road, Hebei 063000, Lubei District, PR China.
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Akcam T, Altug HA, Karakoc O, Sencimen M, Ozkan A, Bayar GR, Gunhan O. Synchronous ossifying fibromas of the jaws: a review. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 114:S120-5. [PMID: 23063387 DOI: 10.1016/j.oooo.2011.08.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2011] [Revised: 08/08/2011] [Accepted: 08/25/2011] [Indexed: 11/25/2022]
Abstract
According to the World Health Organization, it is proposed that benign fibro-osseous lesions be divided into 3 categories, including fibrous dysplasia, ossifying fibroma (OF), and osseous dysplasia. OF arises from the periodontal ligament, which contains multipotential cells. These benign tumors may become large and aggressive. Slow growth and lack of symptoms are the cardinal features. OF tends to occur in the second and third decades of life, with predilection for women and for the mandibular premolar-molar area. The method of treatment used for large or rapidly expanding lesions is surgical removal (enucleation). Rarely, OFs occur multifocally. We report a 20-year-old man with synchronous OFs of his maxilla and mandible and review other synchronous cases reported. Such lesions can be properly diagnosed and treated by correlating radiographic, clinical, surgical, and histopathologic findings.
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Affiliation(s)
- Timur Akcam
- Department of Otorhinolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey
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11
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Bilateral psammomatoid ossifying fibroma: a case report and review of the literature. J Oral Maxillofac Surg 2012; 71:714-20. [PMID: 23245519 DOI: 10.1016/j.joms.2012.10.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2012] [Revised: 10/08/2012] [Accepted: 10/08/2012] [Indexed: 11/20/2022]
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12
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Fibro-osseous disease: harmonizing terminology with biology. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:388-92. [DOI: 10.1016/j.oooo.2012.06.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2012] [Accepted: 06/01/2012] [Indexed: 11/22/2022]
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13
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Gondivkar SM, Gadbail AR, Chole R, Parikh RV, Balsaraf S. Ossifying fibroma of the jaws: report of two cases and literature review. Oral Oncol 2011; 47:804-9. [PMID: 21741877 DOI: 10.1016/j.oraloncology.2011.06.014] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2011] [Revised: 06/11/2011] [Accepted: 06/14/2011] [Indexed: 11/28/2022]
Abstract
Ossifying fibromas are uncommon benign tumors of the craniofacial skeleton thought to originate from the periodontal ligament. Most are small and incidentally diagnosed with routine dental radiographs. With larger lesions, patients may complain of an abnormal bite or an enlarging mass. This tumor involves slow-evolving growth with deforming swelling generally arising in the mandible, with possible early tooth displacement. From the radiological perspective, more than 50% of the lesions exhibit an expansion of the jaws and 53% shows well-defined unilocular radiolucencies and 40% are mixed radiolucent-radiopaque lesions. The lesions exceptionally can be radiopaque. Ossifying fibroma presents several variant histopathological subtypes. The overlapping clinical and histopathological features of these subtypes have led to diagnostic dilemma and confusion. Complete excision of this tumor has become a necessity since it is notorious for recurrence. We present here two cases of ossifying fibroma of the jaws along with insight into the literature review.
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Affiliation(s)
- Shailesh M Gondivkar
- Department of Oral Diagnosis, Medicine and Radiology, MGV's K.B.H. Dental College and Hospital, Nashik, Maharashtra, India.
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14
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Lohe VK, Degwekar SS, Bhowate RR, Kadu RP, Motwani MB, Indurkar AD, Dangore SB. Rapidly maturing juvenile ossifying fibroma: a case report. Dentomaxillofac Radiol 2011; 40:195-8. [PMID: 21346088 DOI: 10.1259/dmfr/67780763] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
This report describes an unusual case of juvenile ossifying fibroma (JOF) in a 16-year-old female patient with a clinical presentation of a single large, well-circumscribed swelling on left side of the palate. Ossifying fibromas are normally slow growing benign lesions. Radiographically they can present as radiolucent, mixed or radiopaque lesions depending on the degree of maturity. A period of at least 6 years is required for the lesion to pass from the radiolucent to radiopaque stage. All previously reported cases of JOF have been either radiolucent or mixed density lesions, but our case is unusual because the lesion had shown apparently rapid transformation into an almost complete radiopaque stage at a very early age.
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Affiliation(s)
- V K Lohe
- Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (M), Wardha, Maharashtra, India.
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Ribeiro ACP, Carlos R, Díaz KP, Gouvêa AF, Vargas PA. Bilateral central ossifying fibroma affecting the mandible: report of an uncommon case and critical review of the literature. ACTA ACUST UNITED AC 2011; 111:e21-6. [PMID: 21237424 DOI: 10.1016/j.tripleo.2010.10.024] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2010] [Revised: 10/01/2010] [Accepted: 10/13/2010] [Indexed: 11/16/2022]
Affiliation(s)
- Ana Carolina Prado Ribeiro
- Oral Pathology Division, Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
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Abstract
Significant histological overlap exists between fibro-osseous lesions and diagnosis is made on a clinicopathological basis. Ossifying fibroma is a benign fibro-osseous neoplasm of the jaw and craniofacial complex that has generated a degree of controversy regarding diagnosis and classification, especially with respect to the psammomatoid variant. Orbital lesions mainly arise from the paranasal sinuses affecting the medial or inferior orbital wall. Lateral orbital wall ossifying fibroma is, therefore, a rare condition with only a single previous case report. We present a second case of lateral orbital wall ossifying fibroma and a review of the associated literature.
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Affiliation(s)
- M J Wakefield
- Department of Ophthalmology, Lincoln County Hospital, Greetwell Road, Lincoln, UK.
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17
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Hombal AG, Hegde KK, Narvekar VN. Cemento-ossifying fibroma of mandible. AUSTRALASIAN RADIOLOGY 2007; 51 Suppl:B176-B179. [PMID: 17991057 DOI: 10.1111/j.1440-1673.2007.01789.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Cemento-ossifying fibromas are relatively rare benign, non-odontogenic tumours of the jaw, a subdivision of fibro-osseous lesions. These tumours occur in the third and fourth decades of life, with predilection for women. Majority of the lesions are found in the posterior region of the mandible. We present a rare case of cemento-ossifying fibroma involving the mentum of the mandible in a 50-year-old lady and discuss the plain radiographic and computed tomographic features of the condition.
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Affiliation(s)
- A G Hombal
- Department of Radio-Diagnosis, J.J.M. Medical College, Davangere, Karnataka, India.
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18
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Dalghous A, Alkhabuli JO. Cemento-ossifying fibroma occurring in an elderly patient. A case report and a review of literature. Libyan J Med 2007; 2:95-8. [PMID: 21503260 PMCID: PMC3078280 DOI: 10.4176/061220] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Cemento-ossifying fibromas (COF) are benign lesions affecting the jaws and other craniofacial bones. They commonly affect adults between the third and fourth decade of life. Radiographically, they appear as well-defined unilocular or multilocular intraosseous masses, commonly in the premolar/molar region of the mandible. The lesion is invariably encapsulated and of mixed radiolucent densities. The tumour may grow quite extensively, thus the term aggressive is some times applied. Their clinical, radiographical and histopathological features and those of fibro-osseous lesions are overlapping and may cause confusion in classification, diagnosis, and treatment. The histopathology is composed of fibrous tissues with calcified structures resembling bone or cementum. Surgical enucleation or resection is the treatment of choice. They are insensitive to radiotherapy and recurrences are uncommon. This case report presents a case of COF in 70 years old female patient that was asymptomatic. Clinically, there was an expansion of the buccal plate but not the lingual plate of the right mandible. The covering mucosa was normal and there was no tenderness or paraesthesia. Radiographically, the lesion extends superio-inferiory from the alveolar ridge to the area of inferior dental canal and mesiodistally from the premolar region to the retro-molar area. The lesion was of mixed radiolucent densities. The patient was followed up periodically for 5 years without any treatment. The patient continued to be asymptomatic with minimum changes. Occurrence of cemento-ossifying fibroma in patients over 60 years of age is unusual and had not been reported. The clinical, radiographic, histopathology and literature review are discussed.
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Affiliation(s)
- Abdulbaset Dalghous
- Oral & Maxillofacial Surgery, Pinderfields General Hospital, Wakefield, West Yorkshire
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19
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Dalghous A, Alkhabuli JO. Cemento-ossifying fibroma occurring in an elderly patient. A case report and a review of literature. Libyan J Med 2007. [DOI: 10.3402/ljm.v2i2.4702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Abdulbaset Dalghous
- Oral & Maxillofacial Surgery, Pinderfields General Hospital, Wakefield, West Yorkshire
| | - Juma O Alkhabuli
- Oral Pathology, Faculty of Dentistry, University of Sharjah, Sharjah, UAE
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20
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Canger EM, Celenk P, Kayipmaz S, Alkant A, Gunhan O. Familial ossifying fibromas: report of two cases. J Oral Sci 2004; 46:61-4. [PMID: 15141726 DOI: 10.2334/josnusd.46.61] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Ossifying fibroma is a benign fibro-osseous lesion of the jaw containing varying amounts of calcified deposits such as bone, cementum or both. This type of lesion is referred to as dysplastic or neoplastic in nature. In 2000, a 52-year-old male patient was referred to our clinic complaining of a giant swelling in the mandibular premolar-molar region. A histopathological diagnosis of ossifying fibroma was made. Three months later, his daughter was admitted with a swelling on her mandible. Following biopsy, this patient was also diagnosed as having ossifying fibroma. The present report describes these two cases of familial and multiple ossifying fibromas.
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Affiliation(s)
- Emin Murat Canger
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.
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21
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Abstract
Maxillofacial fibro-osseous lesions (FOL) consists of lesions that differ, with the exception of fibrous dysplasia, to those found in the rest of the skeleton. FOLs of the face and jaws are cemento-osseous [corrected] dysplasia, fibrous dysplasia and cemento-ossifying fibroma. Radiology is central to their diagnosis because the pathology for all FOLs is similar, although they range widely in behaviour, from dysplasia, hamartoma to benign neoplasia with occasional recurrence. Furthermore, once diagnosed the management of each is different. For cemento-ossifying dysplasia, this may mean doing nothing, simply because no treatment is generally appropriate. Almost all cemento-osseous [corrected] fibromas should be treated surgically, whereas cases of fibrous dysplasia are treated according to their clinical presentation, ranging from review and follow-up to surgery necessary to save the patient's sight or reduce deformity. The most important and frequent features of the FOLs differential diagnosis is discussed with assistance of a flow-chart.
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Affiliation(s)
- D S MacDonald-Jankowski
- Oral and Maxillofacial Radiology, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
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