JUVENILE OSSIFYING FIBROMA: A CASE REPORT WITH DIAGNOSTIC CHALLENGE

Autor: Oslei Paes de Almeida, Wilson José Mariano Júnior, Brunno Santos de Freitas Silva, Ananda Amaral Santos, Fernanda Paula Yamamoto-Silva, Marcondes Sena Filho, Leonardo Amaral Dos Reis
Rok vydání: 2020
Předmět:
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 129:e123-e124
ISSN: 2212-4403
DOI: 10.1016/j.oooo.2019.06.539
Popis: A 23-year-old woman presented to our specialized department complaining of an asymptomatic lesion observed by her orthodontist. Intraoral examination showed a volume increase in the left mandible with bone consistency. Extraoral examination showed a slight bulging in the retromolar region with normal color of oral mucosa and the #37 tooth partially erupted. Panoramic radiograph showed a mixed radiolucent-radiopaque and expansive area on the left mandible including teeth #37 and #36; computed tomography reveled a thinning of buccal and lingual cortical without presenting a disruption. An excisional biopsy was performed, and histologic analysis revealed a benign fibro-osseous lesion. Correlation of clinical and aggressive radiographic finding without histopathologic characteristics of malignancy resulted in clinical diagnosis of juvenile ossifying fibroma. We emphasize the importance of considering the incidental radiographic findings and associating them with clinical and histopathologic characteristics to provide correct diagnosis and adequate treatment to patients. The patient is under follow-up.
Databáze: OpenAIRE