Desmoplastic fibroma of the mandible: A rare case report

Talla, Harsha Vardhan; Alaparthi, Ravi Kiran; Yelamanchili, Samatha; Naik, Poorna Chandra Rao

doi:10.4103/0972-1363.143711

Cited by 4 publications

(5 citation statements)

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“… 20 Multiple cases of desmoplastic fibromas of the jaw bones have been reactive to β-catenin, 22 23 24 while some have not been. 12 22 25 …”

Section: Discussionmentioning

confidence: 99%

“… 6 Increased cellularity seems to be associated with an increased tendency for recurrence. 12 Various treatment approaches have been suggested for desmoplastic fibroma, including enucleation, curettage, resection, radiotherapy, and chemotherapy. 6 Radiotherapy, because of its adverse effects such as fibrosis, paresthesia, pathological fracture, higher bone graft failure rates, and induction of osteosarcoma, is not recommended.…”

Section: Discussionmentioning

confidence: 99%

“…An equal sex distribution has been reported in most studies, 3 6 11 but Wood et al 9 stated there was a female predilection (56%). The most common clinical feature of desmoplastic fibroma of the jaw bones is painless swelling; the others include facial asymmetry, tooth displacement and mobility, trismus, and pathological fractures, 3 4 6 7 12 although the latter is more common in long bones. 8…”

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confidence: 99%

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Periosteal reaction as a crucial radiographic finding for desmoplastic fibroma of the jaw bone in children: A case report

et al. 2022

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This report presents the case of a 5-year-old boy with a hard swelling on the right side of the mandible body. An important point of this case is that the primary imaging finding was fine spicules in the inferior border of the mandible on panoramic radiography without significant changes in bone density. Cone-beam computed tomography views revealed a lytic lesion on the lingual side of the right mandibular body with the destruction of the lingual cortex and periosteal reaction from the midline to the first molar area. Careful attention to this radiographic finding in the primary stage in the absence of other significant imaging findings, particularly in children, could result in the early diagnosis of desmoplastic fibroma. Therefore, a better prognosis can be expected following early surgical treatment.

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“… 20 Multiple cases of desmoplastic fibromas of the jaw bones have been reactive to β-catenin, 22 23 24 while some have not been. 12 22 25 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Periosteal reaction as a crucial radiographic finding for desmoplastic fibroma of the jaw bone in children: A case report

et al. 2022

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“…There is little information about the combination of desmoplastic fibroma and tuberous sclerosis; this combination is uncommon [ 8 , 10 , 11 ]. Likewise, there are no epidemiologic studies due to its low frequency, and the features are not well-known.…”

Section: Discussionmentioning

confidence: 99%

“…It has been observed radiographically that relapsing lesions are unilocular or multilocular; the patient showed a unilocular radiolucent area at four months of the first surgery, coronal to the erupting dental organ 33 [ 5 , 11 ]. DF is a collagenous lesion that lacks odontogenic epithelium; for maxillofacial surgeons, this information is crucial since a wider margin of resection is required when provided definitive treatment and probably it could be the cause of relapsing lesions.…”

Section: Discussionmentioning

confidence: 99%

Desmoplastic Fibroma Recurrence Associated with Tuberous Sclerosis in a Young Patient

Espinoza-Coronado

Loyola-Rodríguez

Olvera-Delgado

et al. 2018

Case Reports in Dentistry

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Case Report. A nine-year-old patient with a diagnosis of tuberous sclerosis (with no pathological record) that showed calcifications at the brain level. Besides, the case showed the Vogt triad (epilepsy, mental retardation, and sebaceous adenoma). The patient clinically showed a volume increase of hard consistency, without suppuration and no sessile that included the following teeth 73, 74, and 75. Cone beam computed tomography (CBCT) was obtained, and it displayed a delimited unilocular lesion. After surgical excision, the histopathological report was desmoplastic fibroma (DF). It was observed that the patient had an aggressive recurrence of DF at four months after surgery treatment. Due to these clinical findings, resective osseous surgery and curettage were carried out. It is uncommon to find these two pathologies together (DF and tuberous sclerosis). Since DF is a benign pathology but very invasive and destructive, it is necessary a constant follow-up examination due to a high recurrence frequency.

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