Skip to main content

Advertisement

Log in

A Systematic Review of the Granular Cell Odontogenic Fibroma and Report of a New Case

  • Case Report
  • Published:
Head and Neck Pathology Aims and scope Submit manuscript

Abstract

Background

Granular Cell Odontogenic Fibroma (GCOF) is a rare odontogenic neoplasm reported over time with different names. The purpose of this study is to review all available data on the GCOF in the scientific literature, with a summary of all reported cases and a report of a new case.

Methods

This review was conducted following the PRISMA guidelines. An electronic search was performed up to November 2022.

Results

Thirty-nine studies reporting fifty-three cases were included. GCOF is a rare neoplasm among the odontogenic tumors, with a higher prevalence in women of the middle-aged and white population. This lesion occurs mostly on the posterior region of the mandible. Furthermore, based on clinical, radiographic, and histopathologic features, conservative treatment was the most reported choice with recurrence reported in two cases.

Conclusion

GCOF remains controversial due to the still unsolved histogenesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Data Availability

The manuscript has data included as electronic supplementary material.

Code Availability

The manuscript has data included as electronic supplementary material.

References

  1. Brannon RB (2004) Central odontogenic fibroma, myxoma (odontogenic myxoma, fibromyxoma), and central odontogenic granular cell tumor. Oral Maxillofac Surg Clin North Am 16:359–374. https://doi.org/10.1016/j.coms.2004.03.004

    Article  PubMed  Google Scholar 

  2. Lotay HS, Kalmar J, DeLeeuw K (2010) Central odontogenic fibroma with features of central granular cell odontogenic tumor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109:e63–e66. https://doi.org/10.1016/j.tripleo.2009.10.018

    Article  PubMed  Google Scholar 

  3. WHO Classification of Tumours Editorial Board (2022) Head and neck tumours [Internet; beta version ahead of print]. Lyon (France): International Agency for Research on Cancer [cited 2022 Oct 30]. (WHO classification of tumours series, 5th edn; vol. 9). https://tumourclassification.iarc.who.int/chapters/52

  4. Werthemann A (1950) Uber spongiozytäres Adamantinom [Spongiocytic adamantinoma]. Oncologia 3:193–207. https://pubmed.ncbi.nlm.nih.gov/14815914

    Article  CAS  PubMed  Google Scholar 

  5. Couch RD, Morris EE, Vellios F (1962) Granular cell ameloblastic fibroma. Report of 2 cases in adults, with observations of its similarity to congenital epulis. Am J Clin Pathol 37:398–404. https://doi.org/10.1093/ajcp/37.4.398

    Article  CAS  PubMed  Google Scholar 

  6. Dalforno S, Donna A (1970) Odontomia molle (fibroma ameloblastico) con stroma di cellule granulose [Soft odontoma (ameloblastic fibroma) with granular cell stroma]. Cancro 23:61–66

    CAS  PubMed  Google Scholar 

  7. Vincent SD, Hammond HL, Ellis GL, Juhlin JP (1987) Central granular cell odontogenic fibroma. Oral Surg Oral Med Oral Pathol 63:715–721. https://doi.org/10.1016/0030-4220(87)90376-8

    Article  CAS  PubMed  Google Scholar 

  8. Gardner DG (1996) Central odontogenic fibroma current concepts. J Oral Pathol Med 25:556–561. https://doi.org/10.1111/j.1600-0714.1996.tb01731.x

    Article  CAS  PubMed  Google Scholar 

  9. Etemadi Sh M, Razavi SM, Ghazavi O, Nikbakht MH (2022) Granular cell odontogenic tumor: report of a rare case and a review of literature. BMC Oral Health BioMed Central Ltd 22:61. https://doi.org/10.1186/s12903-022-02097-2

    Article  Google Scholar 

  10. Balaji SM, Balaji P (2018) Rare granular cell tumor affecting a 13-year-old boy. Indian J Dent Res 29:687–689. https://doi.org/10.4103/ijdr.IJDR_651_18

    Article  CAS  PubMed  Google Scholar 

  11. Waldron CA, Thompson CW, Conner WA (1963) Granular cell-ameloblastic fibroma. Report of two cases. Oral Surg Oral Med Oral Pathol 16:1202–1213. https://doi.org/10.1016/0030-4220(63)90342-6

    Article  CAS  PubMed  Google Scholar 

  12. Ardekian L, Manor R, Gaspar R, Laufer D (1998) Central granular cell odontogenic tumor: case report and review of literature. J Oral Maxillofac Surg 56:1343–1345. https://doi.org/10.1016/s0278-2391(98)90619-x

    Article  CAS  PubMed  Google Scholar 

  13. Brannon RB, Goode RK, Eversole LR, Carr RF (2002) The central granular cell odontogenic tumor: report of 5 new cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94:614–621. https://doi.org/10.1067/moe.2002.126890

    Article  PubMed  Google Scholar 

  14. Takeda Y (1999) Ameloblastic fibroma and related lesions: current pathologic concept. Oral Oncol 35:535–540. https://doi.org/10.1016/s1368-8375(99)00039-1

    Article  CAS  PubMed  Google Scholar 

  15. White DK, Chen S-Y, Hartman KS, Miller AS, Gomez LF (1978) Central granular-cell tumor of the jaws (the so-call granular-cell ameloblastic fibroma). Oral Surg Oral Med Oral Pathol 43:396–405. https://doi.org/10.1016/0030-4220(78)90525-x

    Article  Google Scholar 

  16. Gorlin RJ, Goldman HM, Hurt W (1970) Thoma’s oral pathology, 6th edn. Mosby, St. Luis, p 495

    Google Scholar 

  17. de Sousa SO, de Araújo NS, Melhado RM, de Araújo VC (1998) Central odontogenic granular cell tumor: immunohistochemical study of two cases. J Oral Maxillofac Surg 56:787–791. https://doi.org/10.1016/s0278-2391(98)90821-7

    Article  PubMed  Google Scholar 

  18. Fletcher SM, Chengot P, Dalghous A, Mizen K (2015) A granular-cell odontogenic tumour occurring alongside orofacial granulomatosis: a report of the first case. Oral Surg 8:42–47. https://doi.org/10.1111/ors.12089

    Article  Google Scholar 

  19. Lee JJ, Wei LY, Wu YC, Chiang CP (2014) An early central granular cell odontogenic tumor arising from the dental follicle of an impacted mandibular third molar. J Formos Med 113:766–768. https://doi.org/10.1016/j.jfma.2014.02.004

    Article  Google Scholar 

  20. Anbiaee N, Saghafi S, Mohammadzadeh Rezaei M (2014) Central granular cell odontogenic tumor: report of a case with CBCT features. J Dent (Tehran) 11:365–370

    PubMed  Google Scholar 

  21. Regezi JA, Zarbo RJ, Courtney RM, Crissman JD (1989) Immunoreactivity of granular cell lesions of skin, mucosa, and jaw. Cancer 64:1455–1460.

    Article  CAS  PubMed  Google Scholar 

  22. Gomes CC, Naves MD, Pereira MV, Silva LM, Mesquita RA, Gomez RS (2006) Granular cell odontogenic tumour: case report and review of literature. Oral Oncol Extra 42:277–280. https://doi.org/10.1016/j.ooe.2006.07.001

    Article  Google Scholar 

  23. Piattelli A, Rubini C, Goteri G, Fioroni M, Maiorano E (2003) Central granular cell odontogenic tumour: report of the first malignant case and review of the literature. Oral Oncol 39:78–82. https://doi.org/10.1016/s1368-8375(01)00094-x

    Article  PubMed  Google Scholar 

  24. Dunlap CL (1999) Odontogenic fibroma. Semin Diagn Pathol Churchill Livingstone 16:293–296

    CAS  Google Scholar 

  25. Gesek DJ Jr, Adrian JC, Reid EN (1995) Central granular cell odontogenic tumor: a case report including light microscopy, immunohistochemistry, and literature review. J Oral Maxillofac Surg 53:945–949. https://doi.org/10.1016/0278-2391(95)90290-2

    Article  PubMed  Google Scholar 

  26. Sarode SC, Sarode GS, Vaidya K (2014) Central granular cell odontogenic tumor: a systematic review. J Oral Pathol Med 43:167–176. https://doi.org/10.1111/jop.12085

    Article  PubMed  Google Scholar 

  27. Silva BS, de Yamamoto F, Cruz e Silva FP, Souza Aquime BT, Shinohara JRH, dos Pinto DSJ (2012) Central granular cell odontogenic tumor of the maxilla. J Craniofac Surg 23:e117–e119. https://doi.org/10.1097/SCS.0b013e31824cda16

    Article  PubMed  Google Scholar 

  28. Meer S, Altini M, Coleman H, Daya N (2004) Central granular cell odontogenic tumor: immunohistochemistry and ultrastructure. Am J Otolaryngol 25:73–78. https://doi.org/10.1016/j.amjoto.2003.09.002

    Article  CAS  PubMed  Google Scholar 

  29. Chiang CT, Hu KY, Tsai CC (2014) Central granular cell odontogenic tumor: the first reported case in oriental people and literature review. J Formos Med 113:321–325. https://doi.org/10.1016/j.jfma.2012.04.011

    Article  Google Scholar 

  30. Reichart PA, Philipsen HP, Moegelin A, Thalmann U (2006) Central odontogenic fibroma, granular cell variant. Oral Oncol Extra 42:5–9. https://doi.org/10.1016/j.ooe.2005.05.007

    Article  Google Scholar 

  31. Mirchandani R, Sciubba JJ, Mir R (1989) Granular cell lesions of the jaws and oral cavity: a clinicopathologic, immunohistochemical, and ultrastructural study. J Oral Maxillofac Surg 47:1248–1255. https://doi.org/10.1016/0278-2391(89)90718-0

    Article  CAS  PubMed  Google Scholar 

  32. Calvo N, Alonso D, Prieto M, Junquera L (2002) Central odontogenic fibroma granular cell variant: a case report and review of the literature. J Oral Maxillofac Surg 60:1192–1194. https://doi.org/10.1053/joms.2002.35032

    Article  PubMed  Google Scholar 

  33. Sarode SC, Vaidya K, Sarode GS (2013) Central granular cell odontogenic tumor of mandible: a case report. J Oral Maxillofac Surg Med Pathol 25:189–192. https://doi.org/10.1016/j.ajoms.2012.06.008

    Article  Google Scholar 

  34. Shiro BC, Jacoway JR, Mirmiran SA, McGuirt WF Jr, Siegal GP (1989) Central odontogenic fibroma, granular cell variant: a case report with S-100 immunohistochemistry and a review of the literature. Oral Surg Oral Med Oral Pathol 67:725–730. https://doi.org/10.1016/0030-4220(89)90015-7

    Article  CAS  PubMed  Google Scholar 

  35. Cheng SJ, Wang YP, Chen HM, Chiang CP (2013) Central granular cell odontogenic tumor of the mandible. J Formos Med Assoc 112:583–585. https://doi.org/10.1016/j.jfma.2013.06.013

    Article  PubMed  Google Scholar 

  36. Koth VS, da Silva JAC, de Carvalho ALH, Payeras MR (2021) Maito FL dal M. A rare presentation of central granular cell odontogenic tumor. Revista Estomatológica Herediana Universidad Peruana Cayetano Heredia 31:125–130. https://doi.org/10.20453/reh.v31i2.3973

    Article  Google Scholar 

  37. Mesquita ATM, Santos CRR, Gomez RS, Jorge J, León JE, de Almeida OP (2009) Central granular cell odontogenic tumor: a histopathologic and immunohistochemical study. Ann Diagn Pathol 13:405–412. https://doi.org/10.1016/j.anndiagpath.2009.04.001

    Article  PubMed  Google Scholar 

  38. Roza ALOC, Sousa EM, Leite AA, Amaral-Silva GK, Morais TM, de Wagner L (2021) Central odontogenic fibroma: an international multicentric study of 62 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 131:549–557. https://doi.org/10.1016/j.oooo.2020.08.022

    Article  PubMed  Google Scholar 

  39. Chen S-Y (1991) Central granular cell tumor of the jaw. An electron microscopic and immunohistochemical study. Oral Surg Oral Med Oral Pathol 72:75–81. https://doi.org/10.1016/0030-4220(91)90193-g

    Article  CAS  PubMed  Google Scholar 

  40. Yih W-Y, Thompson C, Meshul CK, Bartley MH (1995) Central odontogenic granular cell tumor of the jaw: report of case and immunohistochemical and electron microscopic study. J Oral Maxillofac Surg 53:453–459. https://doi.org/10.1016/0278-2391(95)90723-8

    Article  CAS  PubMed  Google Scholar 

  41. Comitale E, Roccon A, Fedrigo M, Angelini A, Zanette G, Bacci C (2022) Central granular cell odontogenic tumour associated with sepsis, osteonecrosis and osteomyelitis. Oral Surg 15:602–608. https://doi.org/10.1111/ors.12698

    Article  Google Scholar 

  42. Rühl GH, Akuamoa-Boateng E (1989) Granular cells in odontogenic and non-odontogenic tumours. Virchows Arch A Pathol Anat Histopathol 415:403–409. https://doi.org/10.1007/BF00747741

    Article  PubMed  Google Scholar 

  43. Madan M, Chandra S, Raj V, Madan R (2016) Central granular cell odontogenic tumor: report of an unusual case. Indian J Dent Res 27:220–222. https://doi.org/10.4103/0970-9290.183119

    Article  PubMed  Google Scholar 

  44. Atarbashi-Moghadam S, Saebnoori H, Shamloo N, Dehghanpour Barouj M, Saedi S (2019) Granular cell odontogenic tumor, an extremely rare case report. J Dent (Shiraz) 20:220–223. https://doi.org/10.30476/DENTJODS.2019.82390.1018

    Article  PubMed  Google Scholar 

  45. Carinci F, Francioso F, Rubini C, Fioroni M, Tosi L, Pezzetti F et al (2003) Genetic portrait of malignant granular cell odontogenic tumour. Oral Oncol 39:69–77. https://doi.org/10.1016/s1368-8375(02)00027-1

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The authors declare that this study received financial support and that this manuscript, or any part, has not been submitted or published and will not be submitted elsewhere for publication while being considered by the Head and Neck Journal.

Funding

This work was supported by grants from the Research Support Foundation of the State of Pernambuco, Brazil (FACEPE, Fundação de Amparo a Ciência e Tecnologia do Estado de Pernambuco) and from the Coordination for the Improvement of Higher Education Personnel (CAPES, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior).

Author information

Authors and Affiliations

Authors

Contributions

RJGSL, AVMB, and MVC contributed to the study conception and design. Material preparation, search strategy, and data selection were performed by RJGSL, AVMB BCEV, and RAPM. Clinicopathologic review according to WHO criteria and data extraction were performed by RJGSL, JSC, and MAB. Artwork and graphic figures were performed by RJGSL and AVMB. The first draft of the manuscript was written by RJGSL and AVMB; writing review and editing by MNI and MVC. All authors commented on previous versions of the manuscript.

Corresponding author

Correspondence to Belmiro Cavalcanti do Egito Vasconcelos.

Ethics declarations

Conflict of interest

The authors declare they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from the patient included in this article. No identifying information is included in the case report, and the study meets the exemption criteria for the Institutional Review Board of the University of Pernambuco.

Consent for publication

For this type of study, consent for publication is not required.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 95 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Severino Lazo, R.J.G., Martins-de-Barros, A.V., da Silva Cunha, J. et al. A Systematic Review of the Granular Cell Odontogenic Fibroma and Report of a New Case. Head and Neck Pathol 17, 793–802 (2023). https://doi.org/10.1007/s12105-023-01553-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12105-023-01553-x

Keywords

Navigation