Synchronous cemento-ossifying fibromas: a systematic review.

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-09-01 DOI:10.4317/medoral.26501
B-L Neumann, E-M Mendes, B-B Só, F-M Silveira, V-P Wagner, P-A Vargas, J-N Santos, F-P Fonseca, R-E Bologna-Molina, A Mosqueda-Taylor, M-A Martins, M-D Martins
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Abstract

Background: This systematic review aimed to incorporate published data regarding synchronous cemento-ossifying fibromas (COF), with an analysis of their demographic and clinicopathological characteristics.

Material and methods: Case reports and case series of synchronous COF were searched in PubMed, Web of Science, Scopus, EMBASE, and LILACS according to the PRISMA (2020) statement. Also, a manual search was carried out and the grey literature was assessed. A descriptive statistical analysis was performed.

Results: Nineteen studies comprising 20 cases of synchronous COF were included. The mean age at diagnosis was 35 years (±13.8), with a predominance of female patients (n=12/60%). In 13 cases (65%) the mandible and the maxilla were affected simultaneously. In two cases (10%) first-degree relatives (parents or siblings) had been previously diagnosed with COF. The diagnostic hypotheses were reported in 8 cases (40%), with florid cemento-osseous dysplasia, ameloblastic fibroodontoma, calcifying cystic odontogenic tumor, osteoma and cementoblastoma being cited in the differential diagnosis. Among the cases with details about management (n=17), eleven were treated by surgical enucleation and/or excision (64.7%). Follow-up was provided for 10 cases (50%), with a mean period of 44.7±62.19 months. Recurrence occurred in three of informed cases.

Conclusions: Synchronous manifestation of COF is rare. Female patients around the 3rd decade of life are more commonly affected. Bilateral involvement of the mandible and maxilla is the most common clinical presentation.

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同步骨化性纤维瘤:系统综述。
背景:本系统综述旨在纳入已发表的有关同步骨化性纤维瘤(COF)的数据,分析其人口统计学和临床病理学特征:根据 PRISMA(2020)声明,在 PubMed、Web of Science、Scopus、EMBASE 和 LILACS 中检索了同步 COF 的病例报告和系列病例。此外,还进行了人工检索和灰色文献评估。结果:结果:共纳入 19 项研究,包括 20 例同步 COF 病例。确诊时的平均年龄为 35 岁(±13.8),女性患者居多(12/60%)。13例(65%)患者的下颌骨和上颌骨同时受累。有两例患者(10%)的一级亲属(父母或兄弟姐妹)曾被诊断为慢性阻塞性肺气肿。8例病例(40%)报告了诊断假说,在鉴别诊断中提到了花骨水泥牙骨质发育不良、软骨纤维牙瘤、钙化性囊性牙源性肿瘤、骨瘤和骨水泥母细胞瘤。在有详细治疗方法的病例(17 例)中,11 例采用了手术去核和/或切除术(64.7%)。对10例病例(50%)进行了随访,平均随访时间为(44.7±62.19)个月。在知情病例中有三例复发:结论:COF的同步表现非常罕见。结论:同步表现的 COF 比较罕见,女性患者多在 30 岁左右发病。下颌骨和上颌骨双侧受累是最常见的临床表现。
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来源期刊
Medicina Oral Patologia Oral Y Cirugia Bucal
Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.60
自引率
0.00%
发文量
52
审稿时长
3-8 weeks
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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