Peripheral Odontogenic Fibromyxoma: A Report of a Unique Case

Shiladitya Sil
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Abstract

Odontogenic myxoma is a benign, locally aggressive neoplasm that is known to have a high recurrence rate. Fibromyxoma is a variant of myxoma with a higher fibrous–myxoid tissue ratio. The peripheral type of odontogenic fibromyxoma still remains a diagnostic challenge, as very few cases are reported in the literature. One such case is reported here. A 54-year-old male patient reported to our OPD with a diffuse, slowly enlarging growth in the lower right side of the jaw without crossing the midline. Orthopantomogram was done that revealed generalized bone loss with cratering at the lesion site. Incisional biopsy was done along with immune histochemical evaluation for diagnosis confirmation. Surgical excision was done. No recurrence has been reported till now. These lesions clinically mimic any benign peripheral neoplasm. Hence, precise diagnosis is imperative before initiation of management protocols. Wide margin excision and rigid follow-up are recommended to minimize the chance of recurrence. Sil S. Peripheral Odontogenic Fibromyxoma: A Report of a Unique Case. J Oral Health Comm Dent 2020;14(2):70–73.
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外周牙源性纤维黏液瘤1例报道
牙源性黏液瘤是一种良性的局部侵袭性肿瘤,复发率高。纤维黏液瘤是黏液瘤的一种变体,具有较高的纤维-黏液组织比例。外周型牙源性纤维黏液瘤仍然是一个诊断挑战,因为文献中报道的病例很少。这里报告了一个这样的案例。一名54岁男性患者向我们的OPD报告,右下颚有弥漫性缓慢增大的生长,未穿过中线。骨层析成像显示广泛性骨丢失,病变部位有凹陷。切口活检同时进行免疫组织化学评估以确诊。手术切除。至今未见复发报告。这些病变在临床上与任何良性外周肿瘤相似。因此,在启动管理方案之前,精确的诊断是必要的。建议广泛切除并严格随访,以减少复发的机会。外周牙源性纤维黏液瘤1例报道。口腔卫生杂志,2020;14(2):70-73。
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