Cemento-Ossifying Fibroma: Clinical, Radiological and Histopathological Findings

Yıl 2020, Cilt: 10 Sayı: 4, 468 - 472, 30.12.2020

Melda Pelin Akkitap Birsay Gümrü Ender İdman Necip Fazıl Erdem Zeynep Gümüşer Fatma Aksakallı

https://doi.org/10.33808/clinexphealthsci.669796

Cited By: 2

Öz

Cemento-ossifying fibroma, which is considered a benign mesenchymal odontogenic tumour of the jaws, is a type of fibro-osseous lesion characterized by slow growth and proliferation of fibrous cellular stroma containing osteoid, bone or cementum-like tissue. The aim of this study was to report a case of cemento-ossifying fibroma in the mandible with clinical, radiological, and histopathological findings and surgical treatment. A 37-year-old woman was admitted to our clinic with the complaint of gradually growing painless swelling in the right mandibular premolar area. Intra-oral examination revealed a bony hard and non-tender mass with intact overlying mucosa on the buccal and lingual aspects of the mandibular right premolar teeth. Periapical, panoramic, and cone beam computed tomography images revealed the presence of a multilocular hypodense lesion with bicortical destruction and expansion in the relevant area. Excisional biopsy of the lesion was performed and histopathological examination exhibited the definite diagnosis of cemento-ossifying fibroma. Clinical, radiological, and histopathological examination should be considered in the diagnosis and treatment planning of cemento-ossifying fibroma.

Anahtar Kelimeler

Cemento-ossifying fibroma, fibro-osseous lesion, cone beam computed tomography

Kaynakça

• 1. Liu Y, Wang H, You M, Yang Z, Miao J, Shimizutani K, Koseki T. Ossifying fibromas of the jaw bone: 20 cases. Dentomaxillofac Radiol 2010;39:57‑63.
• 2. Pandey V, Sharma A, Sudarshan V. Cemento-ossifying fibroma - a rare case report with review of literature. IJCMR 2016;3:2681-2682.
• 3. Speight PM, Takata T. New tumour entities in the 4th edition of the World Health Organization Classification of Head and Neck tumours: odontogenic and maxillofacial bone tumours. Virchows Arch 2018;472:331-339.
• 4. Pindborg JJ, Kramer IRH. Histological typing of odontogenic tumors, jaw cysts and allied lesions. International histological classification of tumors. Geneva: WHO;1971. p.31-34.
• 5. Kramer IR, Pindborg JJ, Shear M. The World Health Organization histological typing of odontogenic tumours; introducing the second edition. Eur J Cancer B Oral Oncol 1993;29:169-171.
• 6. Reichart PA, Philipsen HP, Sciubba JJ. The new classification of Head and Neck Tumours (WHO) - any changes? Oral Oncol 2006;42:757-758.
• 7. El-Mofty SK, Nelson B, Toyosawa S. Ossifying fibroma. El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ, editors. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: IARC Press; 2017. p. 251-252.
• 8. Bala TK, Soni S, Dayal P, Ghosh I. Cemento-ossifying fibroma of the mandible a clinicopathological report. Saudi Med J 2017;38:541-545.
• 9. Mithra R, Baskaran P, Sathyakumar M. Imaging in the diagnosis of cemento-ossifying fibroma A case series. J Clin Imaging Sci 2012;2:52.
• 10. Sridevi U, Jain A, Turagam N, Prasad MD. Cemento-ossifying fibroma: A case report. Adv Cancer Prev 2016;1:111.
• 11. Rani A, Kalra N, Poswal R, Sharma S. Cemento‑ossifying fibroma: Report of a case and emphasis on its diagnosis. Indian J Multidiscip Dent 2017;7:140-143.
• 12. Dalghous A, Alkhabuli JO. Cemento-ossifying fibroma occurring in an elderly patient: A case report and a review of literature. Libyan J Med 2007;2:95-98.
• 13. Wanzeler AMV, Rohden D, Arús NA, Silveira HLD, Hildebrand LC. Central cemento-ossifying fibroma: clinical-imaging and histopathological diagnosis. Int J Odontostomat 2018;12:233-236.
• 14. Silvestre-Rangil J, Silvestre FJ, Requeni-Bernal J. Cemento-ossifying fibroma of the mandible: Presentation of a case and review of the literature. J Clin Exp Dent 2011;3:66-69.
• 15. Peravali RK, Bhat HH, Reddy S. Maxillo-Mandibular Cemento-ossifying fibroma: A rare case report. J Maxillofac Oral Surg 2015;14:300-307.
• 16. Kharsan V, Madan RS, Rathod P, Balani A, Tiwari S, Sharma S. Large ossifying fibroma of jaw bone: a rare case report. Pan Afr Med J 2018;30:306.
• 17. Reddy R, Sarkar P, Manuel RA, Saxena D, Hoisala VR. Cemento-ossifying fibroma: A case report. IJSS Case Reports and Reviews 2016;3:13-15.
• 18. Neville BW, Damm DD, Allen CMA, Chi AC. Oral and Maxillofacial Pathology. 4th ed. St. Louis, Missouri: Elsevier; 2016.
• 19. Swami A, Kale L, Mishra S, Choudhary S. Central ossifying fibroma of mandible: A case report and review of literature. J Indian Acad Oral Med Radiol 2015;27:131-135.
• 20. Atul SK, Bishen KA, Shitalkumar GS. Understanding massive maxillofacial central cement-ossifying fibroma. Indian J Stomatol 2014;5:148-150.
• 21. Koury ME, Regezi JA, Perrott DH, Kaban LB. Atypical fibro-osseous lesions: diagnostic challenges and treatment concepts. Int J Oral Maxillofac Surg 1995;24:162-169.
• 22. Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: Clinical Pathologic Correlations. 7th ed. St. Louis, Missoouri: Elsevier; 2016.