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Jain N, Dutta A, Kumar N, Dalapati A, Sinha A, Ramesh SM. A Rare Case of Central Odontogenic Fibroma of the Mandible. Cureus 2023; 15:e48772. [PMID: 38098899 PMCID: PMC10719666 DOI: 10.7759/cureus.48772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 11/07/2023] [Indexed: 12/17/2023] Open
Abstract
The benign tumor central odontogenic fibroma (COF) accounts for less than 1% of all the existing odontogenic tumors. The mandibular or maxillary cortical plate is seen to show asymptotic diversification. It has been characterized as a benign jaw neoplasm. Radiographically, it primarily manifests as a multilocular radiolucency. Histologically, it comprises fibroblasts and mature collagen fibers. The popular choice for the management of COFs is enucleation, followed by the extraction of associated teeth. COFs have maintained a track record of showing rare chances of recurrence following surgery. COF was detected in a 38-year-old female who had edema in the lower right front tooth region. The lesion was surgically removed, and a histopathological examination was performed. Many case reports of COF have been stated in the literature. This indicates that cases of COF are not a rare appearance.
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Affiliation(s)
- Nikil Jain
- Oral and Maxillofacial Surgery, Awadh Dental College and Hospital, Jamshedpur, IND
| | - Abhishek Dutta
- Oral and Maxillofacial Surgery, Awadh Dental College and Hospital, Jamshedpur, IND
| | - Nishant Kumar
- Oral and Maxillofacial Surgery, Awadh Dental College and Hospital, Jamshedpur, IND
| | - Anusila Dalapati
- Oral and Maxillofacial Surgery, Awadh Dental College and Hospital, Jamshedpur, IND
| | - Aishwarya Sinha
- Oral and Maxillofacial Surgery, Awadh Dental College and Hospital, Jamshedpur, IND
| | - Sudhir M Ramesh
- Oral and Maxillofacial Surgery, Awadh Dental College and Hospital, Jamshedpur, IND
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Canterbury CR, Stanbouly D, Trinh K, Clark MS, Philipone E. Sclerosing Odontogenic Carcinoma: Report of a Case and Review of the Literature. Head Neck Pathol 2022:10.1007/s12105-022-01514-w. [PMID: 36480092 DOI: 10.1007/s12105-022-01514-w] [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: 10/18/2022] [Accepted: 11/23/2022] [Indexed: 12/13/2022]
Abstract
BACKGROUND Sclerosing odontogenic carcinoma is an exceedingly rare gnathic malignancy first described by Koutlas et al. in 2008, and was only recently designated as a distinct pathologic entity by World Health Organization in the 2017 Classification of Head and Neck Tumors. To date, fewer than fifteen cases of this neoplasm have been reported in the English language literature. This tumor is characterized by thin cords, strands, and small nests of epithelium in a densely sclerotic stroma. In some tumor foci, the density of the stroma may be sufficient to compress the epithelial component beyond detection in the absence of immunohistochemistry, thus rendering this entity a particularly challenging diagnosis in small sample sizes. METHODS A 55-year-old male presented with an asymptomatic lesion of posterior left maxilla. Cone beam computed tomography (CBCT) demonstrated a large, well-defined bony lesion with scalloped border, spanning from canine to first molar. External root resorption of the adjacent teeth was also noted. Microscopic examination of the biopsy specimen revealed an odontogenic tumor with features consistent with sclerosing odontogenic carcinoma. Immunohistochemical staining was performed to confirm the diagnosis. RESULTS The tumor was positive for CK5/6, CK19, E-cadherin, p63 and negative for CK20 and CK7. CONCLUSION Sclerosing odontogenic carcinoma is a rare, low-grade malignancy of odontogenic origin, which represents a diagnosis of exclusion in many cases. An immunohistochemical profile demonstrating positivity for markers including CK5/6, CK19, p63, and E-cadherin, in addition to a set of pertinent negative findings, can aid in the diagnosis of this tumor. This entity appears to lack metastatic potential despite its locally destructive behavior and a common histologic finding of perineural invasion.
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Affiliation(s)
| | - Dani Stanbouly
- Columbia University College of Dental Medicine, New York, NY, USA
| | - Khanh Trinh
- Department of Pathology and Cell Biology, Columbia University Medical Center, 630 W 168Th Street, PH15 West Room 1562, New York, NY, 10032, USA
| | - Matthew S Clark
- Department of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Medical Center, New York, NY, USA
| | - Elizabeth Philipone
- Department of Pathology and Cell Biology, Columbia University Medical Center, 630 W 168Th Street, PH15 West Room 1562, New York, NY, 10032, USA.
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Samra S, Mendis R, Wong E, Morgan G, Coleman H. Radiolucent lesion of the mandible with an indolent course over 10 years. Oral Surg Oral Med Oral Pathol Oral Radiol 2022; 134:513-520. [PMID: 35461798 DOI: 10.1016/j.oooo.2022.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 02/17/2022] [Accepted: 02/18/2022] [Indexed: 10/19/2022]
Affiliation(s)
- Spinderjeet Samra
- Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead NSW, Australia; Sydney Medical School, University of Sydney, Sydney, Australia
| | - Rajith Mendis
- Head and Neck Surgery, Westmead Hospital, Westmead NSW, Australia.
| | - Eva Wong
- Sydney Medical School, University of Sydney, Sydney, Australia; Head and Neck Surgery, Westmead Hospital, Westmead NSW, Australia
| | - Gary Morgan
- Sydney Medical School, University of Sydney, Sydney, Australia; Head and Neck Surgery, Westmead Hospital, Westmead NSW, Australia
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Alsufyani NA, Aldosary RM, Alrasheed RS, Alsaif RF. A systematic review of the clinical and radiographic features of hybrid central giant cell granuloma lesions of the jaws. Acta Odontol Scand 2021; 79:124-131. [PMID: 32730731 DOI: 10.1080/00016357.2020.1797160] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVE Central giant cell granuloma (CGCG) can coexist with other benign lesions of the jaw. These hybrid lesions are diagnostically challenging to both oral pathologists and radiologists. This work systematically reviews the clinical and radiographic features of hybrid-CGCG lesions in the jaws. MATERIALS AND METHODS Three reviewers conducted an electronic search of five databases for histologically diagnosed hybrid-CGCG lesions in human jaws. RESULTS Thirty-four of 1224 articles met the inclusion criteria. Of 39 hybrid-CGCG lesions, 14 (35.9%) were central odontogenic fibroma, 11 (28.2%) were central ossifying fibroma, seven (17.9%) were fibrous dysplasia, and seven (17.9%) were other bone conditions. There were 22 females and 17 males with a mean age of 30.5 ± 19.9 years. 89.5% of hybrid-CGCG lesions were well defined, 57.9% were non-corticated, 60.5% were radiolucent, and 66.7% were in the posterior mandible. Most hybrid lesions affected the cortical plates by thinning, expansion, or perforation (93.1%), displaced, or resorbed teeth (60%). CONCLUSION The radiographic features of hybrid-CGCG lesions vary according to the concurrent bony lesion. Hybrid-CGCG lesions altered the radiographic appearance with the following entities: fibrous dysplasia, melorheostosis, and Paget's disease. Optimal imaging modalities are crucial to detail radiographic features and direct representative biopsy of suspicious sites that may host a CGCG hybridisation.
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Affiliation(s)
- Noura A. Alsufyani
- Division of Oral and Maxillofacial Radiology, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
- Adjunct, Division of Oral Medicine, Pathology and Radiology, School of Dentistry, Department of Medicine and Dentistry, University of Alberta, Edmonton, Canada
| | - Reem M. Aldosary
- College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | | | - Rand F. Alsaif
- College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Bennabi S, Lesclous P, Cloitre A. Central Odontogenic Fibroma: characteristics and management. JOURNAL OF ORAL MEDICINE AND ORAL SURGERY 2021. [DOI: 10.1051/mbcb/2020066] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Central Odontogenic Fibroma (COF) is a rare benign odontogenic tumour of the jaws. Until its recent change in classification by the WHO in 2017, this entity has gone without an agreed upon definition for many years. For this reason, COF would remain largely unknown to practitioners. Corpus: The pedagogical objectives of this article are, through a systematic review of the literature using the PRISMA methodology, to list the epidemiological, aetiological, clinical, radiological, histological, therapeutic and prognostic characteristics of COF. All the data collected made it possible to establish a COF management summary for practitioners in order to optimize it. Conclusion: Based on the 135 cases listed, it appears that surgical enucleation is the treatment of choice for COF. The recurrence rate is low and malignant transformation has never been reported. However, regular clinical and radiological follow-up of patients over several years seems to be a justified precaution.
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Naina S, Narwal A, Devi A, Kamboj M, Pandiar D. Primordial Odontogenic Tumor of Anterior Maxilla in a Young Male: A Case Report and an Updated Review of Literature. Pediatr Dev Pathol 2021; 24:73-79. [PMID: 33433252 DOI: 10.1177/1093526620972589] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Primordial odontogenic tumor (POT) is a recently designated benign mixed epithelial and mesenchymal odontogenic tumor and only sixteen cases have been reported worldwide till now. Here we report an another case of POT in a 14-year old boy who presented with an asymptomatic buccal enlargement in the right maxillary region for past 4-5 months. A well-defined, unilocular, radiolucent lesion with impacted teeth was observed radiographically. A detailed account of clinico-radiographical and histolological differential diagnoses along with an updated literature review has been presented.
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Affiliation(s)
- Sivakumar Naina
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Pt. BD Sharma University of Health Sciences, Rohtak, India
| | - Anjali Narwal
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Pt. BD Sharma University of Health Sciences, Rohtak, India
| | - Anju Devi
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Pt. BD Sharma University of Health Sciences, Rohtak, India
| | - Mala Kamboj
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Pt. BD Sharma University of Health Sciences, Rohtak, India
| | - Deepak Pandiar
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Pt. BD Sharma University of Health Sciences, Rohtak, India
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Bandura P, Sutter W, Meier M, Berger S, Turhani D. Large mandibular central odontogenic fibroma documented over 20 years: A case report. Int J Surg Case Rep 2017; 41:481-488. [PMID: 29546022 PMCID: PMC5711670 DOI: 10.1016/j.ijscr.2017.11.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 11/17/2017] [Accepted: 11/17/2017] [Indexed: 01/11/2023] Open
Abstract
Introduction Central odontogenic fibroma (COF) is a rare, benign, slow-growing intraosseous odontogenic tumor, and accounts for 0.1% of all odontogenic tumors. It is often confused with other entities, such as keratocysts, ameloblastomas, and odontogenic myxomas. Complete enucleation followed by curettage is the treatment of choice for COF to ensure the lowest possible chance of recurrence. Case presentation We report the case of a young Caucasian woman with COF that went undiagnosed for several years despite repeated radiologic examinations. Finally, a massive tumor was surgically removed and the wound was curetted. The specimen was histologically confirmed to be a COF. The patient remains under regular follow-up, and thus far there have been no clinical or radiologic signs of recurrence. Discussion This rare case of COF, which was documented over a period of 20 years, has helped us to describe the features of this tumor. It also confirms that adequate surgical treatment can lead to impressive bone regeneration in healthy individuals, as evident from the radiologic findings acquired before, during, and after enucleation of the COF in our patient. Our findings also confirm the view that COF has a favorable prognosis regardless of its final size. Conclusion Early diagnosis is key to successful treatment of COF. The slow but steady increase in the size of a COF with no accompanying symptoms has not been reported previously. To our knowledge, this is the only documented case of a COF that has been under continuous radiologic observation for over 20 years.
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Affiliation(s)
- Patrick Bandura
- Centre for Oral and Maxillofacial Surgery, University of Dental Medicine and Oral Health, Danube Private University, Steiner Landstraße 124, 3500 Krems-Stein, Austria
| | - Walter Sutter
- Centre for Oral and Maxillofacial Surgery, University of Dental Medicine and Oral Health, Danube Private University, Steiner Landstraße 124, 3500 Krems-Stein, Austria
| | - Marius Meier
- Centre for Oral and Maxillofacial Surgery, University of Dental Medicine and Oral Health, Danube Private University, Steiner Landstraße 124, 3500 Krems-Stein, Austria
| | - Sebastian Berger
- Centre for Oral and Maxillofacial Surgery, University of Dental Medicine and Oral Health, Danube Private University, Steiner Landstraße 124, 3500 Krems-Stein, Austria
| | - Dritan Turhani
- Centre for Oral and Maxillofacial Surgery, University of Dental Medicine and Oral Health, Danube Private University, Steiner Landstraße 124, 3500 Krems-Stein, Austria.
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SOYLU E, KILIÇ E, ZORTUK M, ALKAN A. Büyük Boyutlu Odontojenik Fibromanin Anterior İliak Kret ve İmplant Destekli Sabit Protez ile Tedavisi: Olgu Sunumu. CUMHURIYET DENTAL JOURNAL 2017. [DOI: 10.7126/cumudj.307234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Santoro A, Pannone G, Ramaglia L, Bufo P, Lo Muzio L, Saviano R. Central odontogenic fibroma of the mandible: A case report with diagnostic considerations. Ann Med Surg (Lond) 2016; 5:14-8. [PMID: 26793312 PMCID: PMC4687461 DOI: 10.1016/j.amsu.2015.11.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Revised: 09/24/2015] [Accepted: 11/16/2015] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Odontogenic fibroma (OF), a rare odontogenic tumor of mesodermal origin, has been thought to originate from either dental follicle, periodontal ligament, or dental papilla [1]. Different studies reported high variability in the incidence rate as being between 3 and 23% of all odontogenic tumors [2,3]. OF manifests a dual character at the histopathological examination showing odontogenic epithelial structures mimicking those observed in biopsy of ameloblastoma and, in addition, peculiar fragments of cellular stroma. The clinical and radiological features of OF are similar to other odontogenic and/or non-odontogenic tumours and the differential diagnosis may first occur at fine-needle aspiration biopsy. PRESENTATION OF CASE In the case reported, a young patient showed a localized gingival enlargement involving radiologically the superior margin of the right angle of the mandible and associated with an un-erupted tooth. The morphological characteristics together with clinical and radiologic findings confirmed the tumor to be a central odontogenic fibroma (COF) with secondary gingival involvement. DISCUSSION AND CONCLUSION Benign odontogenic tumors may be distinguished from other odontogenic/non-odontogenic neoplasias and from malignant tumours through a cytologic differential diagnosis as treatment differs accordingly.
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Affiliation(s)
- Angela Santoro
- Department of Services and Laboratories, Institute of Histopathology and Diagnostic Cytopathology, Fondazione di Ricerca e Cura ‘Giovanni Paolo II’-UCSC, Campobasso, Italy
| | - Giuseppe Pannone
- Department of Clinical and Experimental Medicine, Institute of Pathological Anatomy, University of Foggia, Foggia, Italy
| | - Luca Ramaglia
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Napoli “Federico II”, Napoli, Italy
| | - Pantaleo Bufo
- Department of Clinical and Experimental Medicine, Institute of Pathological Anatomy, University of Foggia, Foggia, Italy
- IRCCS CROB – Basilicata Cancer Institute, Rionero in Vulture, Potenza, Italy
| | - Lorenzo Lo Muzio
- IRCCS CROB – Basilicata Cancer Institute, Rionero in Vulture, Potenza, Italy
- Department of Clinical and Experimental Medicine, Section of Oral Pathology, University of Foggia, Foggia, Italy
| | - Raffaele Saviano
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Napoli “Federico II”, Napoli, Italy
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Abstract
Central odontogenic fibroma (COF) is an uncommon tumor that accounts for 0.1% of all odontogenic tumors; it has been defined as a benign neoplasm of the jaw. Clinically, the lesion grows slowly and leads to cortical expansion. Radiologically, the most common finding is multilocular radiolucency. The lesions are associated with the crown of an unerupted molar, premolar, or incisor tooth and in some cases, with root resorption or displacement. Histologically, the lesion is characterized by mature collagen fibers and numerous fibroblasts. COF responds well to surgical enucleation with no tendency for malignancy or recurrence. We report a case of a 15-year-old female patient presented with painless swelling of the left side of the maxilla since her childhood. Radiographs revealed an expanding ill-defined radiolucency with a displacement of the adjacent tooth. The impacted tooth was pushed posteriorly. The lesion was removed surgically. There were no postoperative complications.
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Affiliation(s)
- Karima El Harti
- Department of Oral Surgery, Faculty of Dentistry, Mohammed V University, Rabat, Morocco
| | - Abdelilah Oujilal
- Department of Otorhinolaryngology, Medical and Surgical Sciences, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Wafaa El Wady
- Department of Oral Surgery, Faculty of Dentistry, Mohammed V University, Rabat, Morocco
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Soolari A, Khan A. Central odontogenic fibroma of the gingiva: a case report. Open Dent J 2015; 8:280-8. [PMID: 25646136 PMCID: PMC4311396 DOI: 10.2174/1874210601408010280] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2014] [Revised: 11/24/2014] [Accepted: 12/11/2014] [Indexed: 11/23/2022] Open
Abstract
In this paper, we present a case of an uncommon and slow-growing tumor known as a central odontogenic fibroma (COF). The patient in question is a 53-year-old African-American man who was referred for periodontal evaluation of asymptomatic space formation between the mandibular central incisors. Clinical and radiological evaluations disclosed tumor-like tissue expanding the alveolar ridge in the buccolingual dimension, along with thinning of the cortical plates. Surgical excision was performed, and the specimen was sent for histopathology, which later confirmed that the lesion was a COF. Periodontal regenerative therapy was performed to rebuild the hard and soft tissue that had been compromised as a result of tumor expansion. The site was grafted, with excellent results.
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Affiliation(s)
- Ahmad Soolari
- University of Maryland Dental School, Baltimore, MD, USA
| | - Asghar Khan
- University of Maryland Dental School, Baltimore, MD, USA
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