Raabe, Clemens; Dettmer, Matthias; Baumhoer, Daniel; Suter, Valerie G A (2023). Prominent osteolysis in the maxilla: case report of an odontogenic fibroma mimicking a cyst. BMC Oral Health, 23(1), p. 297. BioMed Central 10.1186/s12903-023-03008-9
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BACKGROUND
Odontogenic fibroma (OF) is a rare benign odontogenic tumor of ectomesenchymal origin, mostly affecting the tooth-bearing portions of the jaws in middle-aged patients. Whilst small lesions tend to be clinically asymptomatic, varying unspecific clinical symptoms occur with an increase in size and may mimic odontogenic or other maxillofacial bone tumors, cysts, or fibro-osseous lesions of the jaws.
CASE PRESENTATION
A 31-year-old female patient presented with a hard, non-fluctuating protrusion in the vestibule of the upper right maxilla. It was visualized on cone beam computed tomography (CBCT) as space-occupying osteolysis with the displacement of the floor and facial wall of the maxillary sinus, mimicking a cyst-like lesion. The tissue was surgically removed and identified as an OF in the histopathological examination. One year after the surgery, restitution of regular sinus anatomy and physiological intraoral findings were observed.
CONCLUSIONS
This case report emphasizes that rare entities, like the maxillary OF presented, often demonstrate nonspecific clinical and radiological findings. Nevertheless, clinicians need to consider rare entities as possible differential diagnoses and plan the treatment accordingly. Histopathological examination is essential to conclude the diagnosis. OF rarely recur after proper enucleation.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology 04 Faculty of Medicine > Service Sector > Institute of Pathology > Clinical Pathology 04 Faculty of Medicine > Service Sector > Institute of Pathology |
UniBE Contributor: |
Raabe, Clemens, Dettmer, Matthias, Suter, Valérie |
Subjects: |
600 Technology > 610 Medicine & health 500 Science > 570 Life sciences; biology |
ISSN: |
1472-6831 |
Publisher: |
BioMed Central |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
17 May 2023 09:35 |
Last Modified: |
21 May 2023 02:26 |
Publisher DOI: |
10.1186/s12903-023-03008-9 |
PubMed ID: |
37194038 |
Uncontrolled Keywords: |
Fibroma Jaw Neoplasms Odontogenic Tumors Osteolysis |
BORIS DOI: |
10.48350/182652 |
URI: |
https://boris.unibe.ch/id/eprint/182652 |
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