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Karube T, Munakata K, Yamada Y, Yasui Y, Yajima S, Horie N, Kawana H, Mikami S, Nakagawa T, Asoda S. Giant peripheral ossifying fibroma with coincidental squamous cell carcinoma: a case report. J Med Case Rep 2021; 15:599. [PMID: 34922609 PMCID: PMC8684643 DOI: 10.1186/s13256-021-03187-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 11/08/2021] [Indexed: 11/10/2022] Open
Abstract
Background Peripheral ossifying fibroma is an inflammatory or reactive hyperplasia of the gingiva that is usually small. It is formed by hard tissue in fibrous tissue, and the name “neoplastic lesion” has tended to be used frequently in Europe and America. Clinically, peripheral ossifying fibromas are painless, solitary, exophytic, sessile, or pedunculated and more frequently found in females than in males. To the best of our knowledge, there have been no reports of malignant cases. We herein report the case of giant peripheral ossifying fibroma with squamous cell carcinoma. Case presentation The patient was an 83-year-old Japanese woman who visited our hospital with a gingival massive mass. She was referred to us for an examination and treatment because it was difficult to perform tracheal intubation for surgery of sigmoid colon cancer at another hospital. The mass measured 83 × 58 × 35 mm, and it protruded to the extra-oral region from the right maxillary premolar alveolar region. Panoramic X-ray revealed the shadow of the mass in the right maxillary premolar region, which included some hard tissue. Computed tomography showed scattering calcified images in the mass. Magnetic resonance imaging was not performed because she had vertebral artery clips and screws in her forehead. Given the above findings, we performed a biopsy under local anesthesia. However, we were unable to diagnose absolutely whether the dysplastic squamous epithelia were pseudocarcinomatous hyperplasia of the gingiva or well-differentiated squamous cell carcinoma. Therefore, tumor resection was performed under general anesthesia. The histopathological diagnosis was peripheral ossifying fibroma with coincidental squamous cell carcinoma. There have been no signs of recurrence during follow-up as of 2 years after surgery. Conclusions The etiology of giant peripheral ossifying fibroma with squamous cell carcinoma is still not definite. Therefore, careful observation is necessary. It needs to be examined by accumulation of more cases in the future. We herein report the case of giant peripheral ossifying fibroma coincidental squamous cell carcinoma.
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Nair KK, Nausheen E, Chaudhuri K, Hariharan M, Ramesh S. Laser-Assisted Management of a Rare Presentation of Peripheral Ossifying Fibroma in an Infant. Cureus 2021; 13:e20417. [PMID: 35047257 PMCID: PMC8759713 DOI: 10.7759/cureus.20417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2021] [Indexed: 11/12/2022] Open
Abstract
Reactive hyperplasias are a group of lesions often seen in the oral mucosa, especially on the gingiva, in association with local irritation or trauma. Peripheral ossifying fibroma (POF) is a common reactive lesion, almost always affecting the tooth-bearing areas of the oral cavity. It is most often encountered in young adults but extremely rare in patients below 10 years of age. Here, we report a unique presentation of peripheral ossifying fibroma affecting the anterior mandible in a three-month-old infant. We also highlight the role of laser in the management of such lesions.
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Roubaud JC, Leclere JC, Marianowski R. Left premaxillary tumour: What is your diagnosis? Eur Ann Otorhinolaryngol Head Neck Dis 2020; 138:59-60. [PMID: 33158758 DOI: 10.1016/j.anorl.2020.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- J-C Roubaud
- Service ORL, CHRU Morvan, 2, avenue Foch, 29200 Brest, France.
| | - J-C Leclere
- Service ORL, CHRU Morvan, 2, avenue Foch, 29200 Brest, France
| | - R Marianowski
- Service ORL, CHRU Morvan, 2, avenue Foch, 29200 Brest, France
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Kaur T, Dhawan A, Bhullar RS, Gupta S. Cemento-Ossifying Fibroma in Maxillofacial Region: A Series of 16 Cases. J Maxillofac Oral Surg 2019; 20:240-245. [PMID: 33927492 DOI: 10.1007/s12663-019-01304-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Accepted: 11/02/2019] [Indexed: 11/29/2022] Open
Abstract
Introduction Cemento-ossifying fibroma is considered as a benign osseous tumour, closely related to other lesions such as fibrous dysplasia and cementifying periapical dysplasia. These lesions occur in the second to the fourth decade of life. It is a bony tumour of maxilla and mandible of possibly odontogenic origin with aggressive behaviour and high tendency for recurrence. Radiologically, the lesion appearances varied ranging from radiolucent cyst-like appearance to mixed and/or radiopaque areas. Aims and objectives The article attempts to highlight the importance of clinical, imaging aspects and histopathology in diagnosis of cemento-ossifying fibroma along with management and long-term follow-up. Materials and methods This retrospective study was done on histologically diagnosed 16 fibro-osseous lesions. These patients were treated under general anaesthesia at our institute. The demographic data, radiographic features, and histopathologic findings were analysed and compared. The treatment and follow-up data were also recorded. Results Cemento-ossifying fibroma showed higher predilection for female than for male patients and with an equal number of cases reported in maxilla and mandible with no signs of recurrence in long-term follow-up of 15 years. Conclusion Complete surgical excision of cemento-ossifying fibroma comes out to be only effective treatment that gave satisfactory results and can be considered as a definitive treatment modality.
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Affiliation(s)
- Tejinder Kaur
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Mall Mandi, GT Road, Amritsar, 143001 India
| | - Amit Dhawan
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Mall Mandi, GT Road, Amritsar, 143001 India
| | - Ramandeep Singh Bhullar
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Mall Mandi, GT Road, Amritsar, 143001 India
| | - Sakshi Gupta
- Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Mall Mandi, GT Road, Amritsar, 143001 India
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Lázare H, Peteiro A, Pérez Sayáns M, Gándara-Vila P, Caneiro J, García-García A, Antón I, Gándara-Rey JM, Suárez-Peñaranda JM. Clinicopathological features of peripheral ossifying fibroma in a series of 41 patients. Br J Oral Maxillofac Surg 2019; 57:1081-1085. [PMID: 31601435 DOI: 10.1016/j.bjoms.2019.09.020] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Accepted: 09/19/2019] [Indexed: 11/24/2022]
Abstract
Peripheral ossifying fibromas are benign mesenchymal lesions that usually arise in the anterior maxilla of young female patients. Histologically they consist of spindle cell proliferation with focal mineralisation. We reviewed 48 specimens from 41 patients and recorded the clinical data, sex, and age of the patients, site and size of the lesions, treatment, and postoperative outcome. Histologically the presence of mature, woven bone, cementum, and calcifications were evaluated and evaluated immunohistochemically. Lesions were more frequent in female patients in the third and fourth decade, and were usually in the lower maxilla and smaller than 2cm. All lesions were conservatively excised, and they relapsed in eight patients. Histopathologically, the lesions were poorly circumscribed, moderately cellular proliferations, with no discernible architectural pattern. All tumours showed some degree of mineralisation, the presence of immature bone being the most common. Immunohistochemical examination showed staining of tumoural cells for smooth muscle actin and CD68. Lesions tended to occur more commonly in female patients, but one decade later than usually reported. We found a higher recurrence rate in lesions that contained cementum-like material but without bone formation, suggesting a lack of maturation in this group. Immunohistochemical results were consistent with myofibroblastic differentiation but they added no information about the behaviour of the lesions.
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Affiliation(s)
- H Lázare
- Department of Pathology, Clinical University Hospital, Santiago de Compostela, Spain
| | - A Peteiro
- Department of Pathology, Hospital POVISA, Vigo, Spain
| | - M Pérez Sayáns
- Oral Medicine, Oral Surgery and Implantology Unit. Faculty of Medicine and Dentistry University of Santiago de Compostela, Spain; Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
| | - P Gándara-Vila
- Oral Medicine, Oral Surgery and Implantology Unit. Faculty of Medicine and Dentistry University of Santiago de Compostela, Spain; Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
| | - J Caneiro
- Department of Pathology, Clinical University Hospital, Santiago de Compostela, Spain
| | - A García-García
- Department of Pathology, Clinical University Hospital, Santiago de Compostela, Spain; Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
| | - I Antón
- Department of Pathology, Hospital POVISA, Vigo, Spain
| | - J M Gándara-Rey
- Oral Medicine, Oral Surgery and Implantology Unit. Faculty of Medicine and Dentistry University of Santiago de Compostela, Spain
| | - J M Suárez-Peñaranda
- Department of Pathology, Clinical University Hospital, Santiago de Compostela, Spain; Department of Pathology and Forensic Sciences, University of Santiago de Compostela, Spain; Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.
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Abstract
Cemento-ossifying fibromas are rare fibro-osseous benign neoplasms that affect the jaws. They are included in the group of mesodermal odontogenic tumors and commonly present as a progressively growing lesion that might attain enormous size with resultant deformity, if left untreated. A confusion prevails on the terminology, which can only be confirmed by histopathologic evaluation. A case of cemento-ossifying fibroma involving the right mandible is described in a 30 year-old female patient. The clinical, radiographic, histologic features are presented and the various differential diagnosis are discussed.
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Affiliation(s)
- Tapas K Bala
- Department of Dental Care and Implant Centre, Awadh Dental College & Hospital, Jamshedpur, Jharkhand, India. E-mail.
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Alghonaim Y, ALRashed ALHumaid S, Arafat A. Aggressive ossifying fibroma of right ethmoidal sinus: A case report. Int J Surg Case Rep 2017; 53:513-516. [PMID: 29373206 PMCID: PMC6290393 DOI: 10.1016/j.ijscr.2017.12.026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2017] [Revised: 12/20/2017] [Accepted: 12/21/2017] [Indexed: 11/29/2022] Open
Abstract
Ossifying fibroma is a rare benign fibro-osseous lesion seen in the bones of the head and neck area. It is mostly found in the mandible followed by the maxilla and rarely in the paranasal sinuses along with the orbit and skull bones. It is crucial to be aware of the features of ossifying fibroma in this uncommon site for better outcomes of the different craniofacial tumors.
Background Ossifying fibroma is a rare benign fibro-osseous lesion seen in the bones of the head and neck area. It is mostly found in the mandible followed by the maxilla and rarely in the paranasal sinuses along with the orbit and skull bones. Case presentation A 30-year-old male patient presented with headache and incidental finding of a right ethmoidal sinus ossifying fibroma by paranasal-sinuses CT scan and MRI of the face. A flexible fiber-optic nasal endoscopy examination revealed a right side fullness. A non-contrasted CT scan of the paranasal sinus showed hyperdense lesion at the right ethmoid air cells. Functional endoscopic sinus surgery was performed and multiple nasal-mass biopsies were taken which showed fibro-osseous lesion most consistent with aggressive ossifying fibroma. Later, a near total resection of skull base tumor by endoscopic surgery was done and patient was discharged next day in a good condition. Conclusion Ossifying fibroma is a rare lesion found in the head and neck area and it is unusual to be found in the paranasal sinuses. Thus crucial attention to the clinical, radiographical and histopathological examination should be taken for more accurate diagnosis and thus appropriate management.
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Affiliation(s)
- Yazeed Alghonaim
- King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, ENT Division, Department of Surgery, King Abdulaziz Medical City, NGHA, Saudi Arabia
| | - Salwa ALRashed ALHumaid
- King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, ENT Division, Department of Surgery, King Abdulaziz Medical City, NGHA, Saudi Arabia.
| | - Abdullah Arafat
- King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, ENT Division, Department of Surgery, King Abdulaziz Medical City, NGHA, Saudi Arabia
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Franco-Barrera MJ, Zavala-Cerna MG, Fernández-Tamayo R, Vivanco-Pérez I, Fernández-Tamayo NM, Torres-Bugarín O. An update on peripheral ossifying fibroma: case report and literature review. Oral Maxillofac Surg 2016; 20:1-7. [PMID: 26556782 DOI: 10.1007/s10006-015-0535-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 11/01/2015] [Indexed: 06/05/2023]
Abstract
The purpose of the present article was to present a clinical case of an 11-year-old girl with peripheral ossifying fibroma (POF). Additionally, after performing a literature review, we identified clinical information that occurs more frequently in association with POF, such evidence would help professionals in yielding a specific diagnosis and tailor a more specific therapeutic approach with the objective to decrease morbidities' associated with POF. This lesion represents the third most common lesion of all localized reactive hyperplastic lesions. Clinical aspects related to this pathology include the fact that it occurs most frequently in women between the first and second decades of life. It affects anterior maxillary region and interferes with normal functioning of this anatomical structure. After conducting the literature search, we found that it can also be presented in a considerable number of males with pain and hyperemia being the most common clinical manifestations. We found that often clinical cases are presented with incomplete information. It is important that in order to get to a consensus with respect to updates about information related to this lesion, new case series that include complete clinical information, radiographic analysis, and histopathology tests could be presented.
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Affiliation(s)
- María José Franco-Barrera
- Maxilofacial Surgery Division, Hospital Universitario de Puebla, Calle 13 Sur 1301, 72410, Heróica Puebla de Zaragoza Pue, Mexico.
| | - María Guadalupe Zavala-Cerna
- Immunology Department, School of Medicine, Universidad Autonoma de Guadalajara, Av. Patria 1201, Lomas del Valle, 45129, Zapopan, Jalisco, Mexico.
| | - Rubén Fernández-Tamayo
- Maxilofacial Surgery Division, Hospital Universitario de Puebla, Calle 13 Sur 1301, 72410, Heróica Puebla de Zaragoza Pue, Mexico.
| | - Israel Vivanco-Pérez
- Maxilofacial Surgery Division, Hospital Universitario de Puebla, Calle 13 Sur 1301, 72410, Heróica Puebla de Zaragoza Pue, Mexico.
| | - Nora Mariana Fernández-Tamayo
- Pathology Laboratory, Benemerita Universidad Autonoma de Puebla, Puebla, Mexico.
- Pathology Laboratory, Hospital ISSSTEP, Av Emiliano Zapata, San Baltazar Campeche, 72550, Heróica Puebla de Zaragoza Pue, Mexico.
| | - Olivia Torres-Bugarín
- Genotoxic Research Laboratory at School of Medicine, Universidad Autonoma de Guadalajara, Av. Patria 1201, Lomas del Valle, 45129, Zapopan, Jalisco, Mexico.
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Mohiuddin K, Priya NS, Ravindra S, Murthy S. Peripheral ossifying fibroma. J Indian Soc Periodontol 2013; 17:507-9. [PMID: 24174733 PMCID: PMC3800416 DOI: 10.4103/0972-124x.118325] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2011] [Accepted: 06/24/2013] [Indexed: 11/23/2022] Open
Abstract
Peripheral ossifying fibroma (POF) is one of the inflammatory reactive hyperplasia of gingiva. It represents a separate clinical entity rather than a transitional form of pyogenic granuloma and shares unique clinical characteristics and diverse histopathological features. We present a case of POF in a 65-year-old male patient in the posterior maxillary gingiva, the clinical presentation of which differs from the usual presentation. Differential diagnosis and some interesting facts of POF are discussed.
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Affiliation(s)
- Khizer Mohiuddin
- Department of Periodontics, Al-Ameen Dental College, Bijapur, India
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