Abstract
background: Desmoplastic fibroma of bone is a rare intraosseous benign but locally aggressive tumor of connective tissue origin. The lesion may affect the metaphyses of the long bones but it may also involve the skull bones and more specifically the mandible, with most lesions appearing in the ramus-angle area. Treatment is surgical although additional chemotherapy or radiation has been applied. Case report: A 10-year-old boy initially presented with restriction and deviation of mouth opening. Clinical and radiological examination revealed a tumor-like lesion of the mandible extending into the soft tissues, which on biopsy proved to be a desmoplastic fibroma. Treatment: The surgical treatment included peripheral ostectomy of the mandible, via an intraoral approach, for the removal of the lesion and restoration of the bone defect with an iliac bone autograft. Follow-up: The high recurrence rate of this type of lesion, demands a strict follow-up schedule. In the case presented, 5 years post-operatively, there are no signs of local recurrence. Conclusion: Changes in mouth opening when not attributed to obvious reasons, such as trauma, should make a dentist suspicious and lead to further investigation. In the case presented, a central lesion was revealed in the radiograph and the patient was referred and treated early. Extended surgical removal of the tumor, with wide margins, proved to be the appropriate treatment.
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References
Batsakis JG. Tumors of the Head and Neck: Clinical and Pathological Considerations. 2nd Edn. Baltimore: Williams and Wilkins, 1984:410
Boustred AM, Feranandes D, van Zyl AE. Minimally invasive iliac cancellous bone graft harvesting. Plast Reconstr Surg 1997;99:1760–1764
Griffith JG, Irby WB. Desmoplastic fibroma; report of a rare tumor of the oral structures. Oral Surgery 1965;20:269–275
Herford AS, Reder P, Ducic Y. Multifocal desmoplastic fibromas of the mandible. J Oral Maxillofac Surg 2001;59:1078–1081
Hopkins KM, Huttula CS, Kahn MA, et al. Desmoplastic fibroma of the mandible: Review and report of two cases. J Oral Maxillofac Surg 1996;54:1249–1254
Iwai S, Matsumoto K, Sakuda M. Desmoplastic fibroma of the mandible mimicking osteogenic sarcoma: Report of a case. J Oral Maxillofac Surg 1996;54:1370–1373
Jaffe HL. Tumors and tumorous conditions of the bones and joints. Philadelphia: Lea & Febiger, 1958, pp 298–303
Keller EE, Triplett WW. Iliac bone grafting: review of 160 consecutive cases. J Oral Maxillofac Surg 1987;45:11–14
Kwon PHJ, Horswell BB, Gatto DJ. Desmoplastic fibroma of the jaws: Surgical management and review of the literature. Head Neck 1989;11:67–75
Said-Al-Naief N, Fernandes R, Louis P, et al. Desmoplastic fibroma of the jaw: a case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:82–94
Sapp JP, Eversole LR, Wysocki GP. Contemporary Oral and Maxillofacial Pathology. 2nd edition St. Louis: Mosby, 2004:298–299
Shafer WG, Hine MK, Levy BM: Benign and malignant tumors of the oral cavity; In W.B. Saunders Company (eds): A Textbook of Oral Pathology. 1974, pp 158–159.
Templeton K, Glass N, Young SK. Desmoplastic fibroma of the mandible in a child: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:620–623
Wippold FJ, White FV, Jamroz G, et al. Desmoplastic fibroma of the mandible in an infant. Pediatr Radiol 2005;35:906–909. Epub 2005 May 12
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Iatrou, I.A., Theologie-Lygidakis, N. & Leventis, M.D. Desmoplastic Fibroma of the Mandible in a child presenting with TMJ dysfunction. Eur Arch Paediatr Dent 9, 105–108 (2008). https://doi.org/10.1007/BF03262620
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DOI: https://doi.org/10.1007/BF03262620