Abstract
The aim of this report is to present a rare case of a child with a desmoplastic fibroma (DF) at the mandibular angle. This lesion commonly shows a radiolucent and radiopaque radiographic picture. Due to its aggressiveness and high recurrence rate, an early diagnosis is essential and the complete removal of the lesion is the treatment of choice. We present a case of 11-year-old boy who was referred to be treated for an growth in the left mandibular angle area, a radiolucent and radiopaque feature. After an incisional biopsy, the complete removal of the lesion was done without vascular or nerve damage of the inferior alveolar bundle and without causing mandibular discontinuity. The clinical and radiographic features suggested the diagnosis and allowed the differentiation of DF from other lesions in the maxillofacial area. However, the final diagnosis was only possible through histopathological examination.
Keywords: Bone neoplasms, Desmoplastic fibroma, Mandible, Surgical pathology, Jaw neoplasms
Full Text
The Full Text of this article is available as a PDF (143.1 KB).
References
- 1.Vargas-Gonzalez R., San Martin-Brieke W., Gil-Orduna C., Lara-Hernandez F. Desmoplastic fibroma-like tumor of maxillofacial region associated with tuberous sclerosis. Pathol Oncol Res. 2004;10(4):237–239. doi: 10.1007/BF03033768. [DOI] [PubMed] [Google Scholar]
- 2.Mahnken A.H., Nolte-Ernsting C.C., Wildberger J.E., Wirtz D.C., Gunther R.W. Cross-sectional imaging patterns of desmoplastic fibroma. Eur Radiol. 2001;11(7):1105–1110. doi: 10.1007/s003300000739. [DOI] [PubMed] [Google Scholar]
- 3.Rabin D., Ang L.C., Megyesi J., Lee D.H., Duggal N. Desmoplastic fibroma of the cranium: case report and review of the literature. Neurosurgery. 2003;52(4):950–954. doi: 10.1227/01.NEU.0000053025.36216.3C. [DOI] [PubMed] [Google Scholar]
- 4.Templeton K., Glass N., Young S.K. Desmoplastic fibroma of the mandible in a child: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;84(6):620–623. doi: 10.1016/S1079-2104(97)90362-0. [DOI] [PubMed] [Google Scholar]
- 5.Herford A.S., Reder P., Ducic Y. Multifocal desmoplastic fibromas of the mandible. J Oral Maxillofac Surg. 2001;59(9):1078–1081. doi: 10.1053/joms.2001.25032. [DOI] [PubMed] [Google Scholar]
- 6.Troulis M.J., Williams W.B., Kaban L.B. Staged protocol for resection, skeletal reconstruction, and oral rehabilitation of children with jaw tumors. J Oral Maxillofac Surg. 2004;62(3):335–343. doi: 10.1016/j.joms.2003.07.006. [DOI] [PubMed] [Google Scholar]
- 7.Nag H.L., Kumar R., Bhan S., Awasthy B.S., Julka P.K., Ray R.R. Radiotherapy for desmoplastic fibroma of bone: a case report. J Orthop Surg (Hong Kong) 2003;11(1):90–93. doi: 10.1177/230949900301100117. [DOI] [PubMed] [Google Scholar]
- 8.Mesquita R.A., Okuda E., Jorge W.A., Araujo V.C. Collagenous fibroma (desmoplastic fibroblastoma) of the palate: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(1):80–84. doi: 10.1067/moe.2001.109638. [DOI] [PubMed] [Google Scholar]