Peripheral odontogenic fibroma in the mandibular gingiva: case report
Autor: | Jozinete Vieira Pereira, Luana Samara B. de-Sena, Daliana Queiroga de Castro Gomes, Pollianna Muniz Alves, Márcia Cristina da Costa Miguel, Cassiano Francisco Weege Nonaka |
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Jazyk: | angličtina |
Předmět: |
odontogenic tumors
Pathology medicine.medical_specialty business.industry Pyogenic granuloma Clinical Biochemistry Mandible Peripheral ossifying fibroma Peripheral odontogenic fibroma medicine.disease Mandibular first molar Pathology and Forensic Medicine gingiva mandible Medical Laboratory Technology medicine.anatomical_structure Giant cell differential diagnosis medicine Premolar RB1-214 Differential diagnosis business |
Zdroj: | Jornal Brasileiro de Patologia e Medicina Laboratorial |
Popis: | Peripheral odontogenic fibroma (POF) is a rare benign neoplasm of odontogenic mesenchymal origin that accounts for approximately 4.7% of all odontogenic tumors. This article reports the case of a 29-year-old woman who presented with a painless, reddish mass in the right vestibular mandibular gingiva between the second premolar and the first molar. Radiographic examination revealed small crestal bone loss in the region. Microscopic analysis revealed a tumor composed of cellular fibroblastic connective tissue intermingled with conspicuous islands and strands of apparently inactive odontogenic epithelium. The final diagnosis was POF. No clinical signs of recurrence were observed 22 months after surgical excision. POF may be clinically mistaken for other common gingival lesions, such as pyogenic granuloma, peripheral giant cell lesion, and peripheral ossifying fibroma. Conservative local excision has been suggested as the treatment of choice for POF. However, in view of the paucity of information on the biological behavior and recurrence rate of this tumor, long-term follow-up of patients is mandatory. |
Databáze: | OpenAIRE |
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