ABSTRACT
El granuloma piógeno es una lesión reactiva en respuesta a diferentes factores locales, su etiología es por traumatismo, caries dental, desequilibrio hormonal, higiene oral deficiente, etc. que produce una proliferación inflamatoria del tejido conectivo, localizada frecuentemente en cavidad oral (encías, lengua, paladar duro, labios y piso de boca) y piel. Clínicamente se presenta como una lesión hiperplásica vascularizada con base pediculada o sésil de tamaño variable y crecimiento lento. Histológicamente presenta proliferación de tejido endotelial a una red vascular con signos de inflamación crónica y tejido de granulación. El presente caso clínico tiene como objetivo identificar las características clínicas, imagenológicas e histopatológicas de Granuloma Piógeno con aspecto tumoral en la cavidad oral en un paciente adulto de la Clínica Dental Docente Cayetano Heredia en el año 2017. Las características clínicas e histopatológicas de granuloma permiten un diagnóstico concreto, dado que su diagnóstico diferencial es similar. Como opciones de tratamiento además de exéresis, tenemos el pulsed-dye laser, inyección intralesional de etanol o corticoides, escleroterapia con tetradecil sulfato de sodio y criocirugía. Las hiperplasias reactivas pueden presentar aspecto tumoral que se descarta con el estudio anatomopatológico. El abordaje y tratamiento requiere un diagnóstico clínico e histopatológico adecuado.
Pyogenic granuloma is a reactive lesion in response to different local factors, including traumatism, caries dental, hormonal imbalance or poor oral hygiene, which produces an inflammatory proliferation of connective tissue. Pyogenic granuloma is frequently located in oral cavity (gums, tongue, hard palate, lips, and floor of mouth) and skin. Clinically, it presents as a vascularized hyperplastic lesion with a slow-growing pedicled or sessile base of variable size and slow growth. Histologically, shows proliferation of endothelial tissue to a vascular network with signs of chronic inflammation and granulation tissue. This case report aims to identify the clinical, imaging and histopathological characteristics of Pyogenic Granuloma with tumor appearance in the oral cavity in an adult patient of the Clínica Dental Docente Cayetano Heredia in 2017. Clinical and histopathological characteristics of granuloma allow a specific diagnosis, given that their differential diagnoses are similar. The treatment options for pyogenic granuloma include excision, laser pulsed-dye, intralesional injection of ethanol or corticosteroids, sclerotherapy with sodium tetradecyl sulfate, and cryosurgery. Reactive hyperplasia may present a tumor appearance that is ruled out by anatomopathological study. Choosing the correct approach and treatment requires a proper clinical and histopathological diagnosis.
ABSTRACT
Oral cavity, when subjected to various forms of chronic insults or microtrauma, often results in a hyperplastic lesion, commonly referred to as inflammatory reactive hyperplasia. This category includes various lesions such as peripheral fibroma, peripheral ossifying/cementifying fibroma, pyogenic granuloma, and peripheral giant cell granuloma. They are primarily seen to develop in close proximity to the source of chronic irritant and have a close resemblance in terms of biological behavior and clinical presentation. Histopathologically, they display a common feature of hyperplastic fibrous tissue, but also have some variations like the presence of giant cells or aggregate of calcified mass depending on the histogenesis of the lesion. They were the most common tumor-like lesions to be seen in the oral cavity, familiarity with these lesions are of utmost importance. The present article portrays a series of 5 cases of different clinical forms of reactive hyperplasia with a brief literature review. The current manuscript is presented with an aim to enhance the knowledge about hyperplastic lesions.
ABSTRACT
In the oral cavity, gingival growth is one of the most commonly encountered lesions, most of these lesions are benign, but some do have malignant potential. Peripheral ossifying fioma (POF) is a benign neoplasm that usually develops from reactive gingival overgrowth. Microscopically, the tumour shows stratified squamous epithelium and highly cellular fious stroma, sparse endothelial proliferation with fioblasts and dystrophic calcifications. It has to be differentiated histopathologically from pyogenic granuloma, fioma, peripheral giant cell granuloma, peripheral odontogenic fioma and fious hyperplasia. This report presents a case of gingival overgrowth in a 56-year-old woman which reoccurred for 4th time. Treatment included excision of the gingival growth and also extraction of the tooth in relation to the growth as it presented with cervical caries and root resorption.Based on histopathological examination a definitive diagnosis of POF was established.
ABSTRACT
The reactive lesions are relatively common in the oral cavity because of the frequency with which the tissues are injured. They often result from a known stimulus or injury such as dental plaque, calculus, or foreign material. Aims: The aim of this study was to review the clinicopathologic features of reactive hyperplastic lesions (RHLs) of the oral cavity at MIDSR, Dental College and Hospital, Latur, Maharashtra, and to compare these data with those of previously reported studies. Settings and Design: The patient case files from the Department of Oral and Maxillofacial Pathology from June 2010 to May 2016 were reviewed for cases of RHLs of the oral cavity. Subjects and Methods: Both clinical and histopathological diagnosis of reactive lesions was selected for the study. Data including the type of the lesion, age, gender, and the site involved were collected. Statistical Analysis Used: Descriptive statistics was applied to the data and differences in frequencies among groups were evaluated using SPSS (IBM Corporation) software. Results: A total of 155 histologically diagnosed cases of RHLs were obtained with a prevalence of 11.7%. The data consist of 56 (36.1%) males and 99 (63.9%) females. The most common lesion clinically was traumatic fibroma (36.5%) and histologically fibrous hyperplasia (37.4%). The reactive lesions clinically presented as either sessile (51%) or pedunculated (49%) lesions. Conclusions: The clinical features of reactive hyperplasia among our patients were similar to those reported previously with divergence in some analyzed data. The novelty in our study was the correlation between histopathology and clinical features which were not reported in literature till date.
ABSTRACT
O Fibroma Ossificante Periférico (FOP) é uma lesão reativa oriunda de agressões sofridas pelo tecido gengival, que acomete predominantemente a região anterior de maxila de indivíduos do sexo feminino em sua segunda década de vida. Objetivo: O presente trabalho tem como objetivo descrever uma lesão em maxila. Material e método: Para descrição do caso, foi feita uma ampla revisão de literatura. Resultados: A lesão aqui descrita acometeu paciente do sexo feminino, melanoderma, que procurou atendimento devido à tumefação presente em região anterior de maxila. Após a anamnese e exame físico, a paciente foi submetida a exames de imagem, que revelaram espessamento total do espaço do ligamento periodontal do dente envolvido com a lesão. O exame anátomo-patológico revelou a presença de um Fibroma Ossificante Periférico e o tratamento eleito foi a exérese da lesão, tendo em vista suas características de benignidade. A paciente foi acompanhada por 45 dias pós-operatórios, onde observou-se boa cicatrização além de ausência de recorrência. Conclusão: Dessa forma, observa-se que o cirurgião-dentista deve ser capaz de diagnosticar tal alteração além de oferecer a melhor opção terapêutica ao paciente.
The Peripheral ossifying fibroma (POF) is a lesion that originates from the aggressions suffered by the gingival tissue affecting mainly the anterior maxilla of females in the second decade of life. Objective: This paper aims to describe a lesion in the maxilla. Methods: To describe the case, a comprehensive review was made. Results: The lesion befell non-white female patient, who sought care due to swelling appears on the anterior maxilla. After the anamnesis and physical examination, the patient underwent radiographic exams that revealed total thickening of the periodontal ligament space of the tooth involved with the lesion. The pathological examination revealed the presence of peripheral ossifying fibroma. The elected treatment was the lesion excision. After 45 days of follow up, there was observe a good cicatrization and absence of recurrence. Conclusion: The dentistry should be able to diagnose such lesions and offer the best therapeutic option to patient's treatment.
ABSTRACT
Localised gingival enlargements are commonly seen in the oral cavity. Most of these lesions are reactive and non-neoplastic in nature. Clinically it is always not possible to differentiate one specific gingival enlargement from other. Confirmatory diagnosis is made by histologic analysis. Peripheral ossifying fibroma(POF) is one such entity the confirmatory diagnosis of which is made by histopathological features. It is a reactive beningn lesion. The present case report describes a 20- year- old male, who visited the Department of Periodontology with the chief compliant of swelling of gums in the upper front teeth region since 3 months. His past dental history reveals that he had similar type of overgrowth 1year back and had undergone surgical excision 6months back. Intraoral examination revealed a solitary, pedunculated mass involving interdental papilla in relation to 11,21. His intraoral radiograph showed boneloss in relation to 11,21. Surgical excision of the lesion was done by scalpel method followed by histopathologic examination for confirmatory diagnosis. As the overgrowth was re-occurred in this patient the present case report mainly emphasis about the surgical procedure to be done and the close post operative follow up required.
ABSTRACT
O fibroma ossificante periférico é uma lesão não neoplásica proliferativa, não patognomônico, de evolução lenta e indolor, que acomete os tecidos gengivais. O presente trabalho teve como objetivo relatar dois casos clínicos desta lesão em um acompanhamento em longo prazo, ressaltando os aspectos clínicos e histopatológicos, bem como seu tratamento e prognóstico.
The peripheral ossifying fibroma is a non-neoplasic, proliferative lesion of painless and slow evolutive character, which involves the gingival tissues. This paper reports on two clinical cases in a long-term follow-up highlightening their clinical and histopathologic aspects, treatment, and outcomes.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Fibroma, Ossifying/diagnosis , Fibroma, Ossifying/pathology , Fibroma, Ossifying/therapy , Gingival Hyperplasia/diagnosis , Gingival Hyperplasia/therapyABSTRACT
Oral mucosa is subjected constantly to external and internal stimuli that can give rise to reactive lesions. These lesions are non- neoplastic in nature. They manifest a spectrum of diseases that range from developmental, inflammatory, and reactive to neoplastic changes. Reactive lesions are typically gives response to chronic inflammation caused by various forms of low grade chronic irritations to the oral mucosa such as dental plaque and calculus, sharp edges of grossly carious teeth, faulty dental restorations, chronic biting habits, ill-fitting dental/oral appliances and food impactions. These lesions have a very similar appearance to benign neoplastic proliferations. This similarity is troublesome in differential diagnosis among them. Different types of localized reactive lesions of oral cavity are focal fibrous hyperplasia (FFH), pyogenic granuloma (PG), irritational fibroma, peripheral giant cell granuloma (PGCG), peripheral ossifying fibroma (POF), fibro-epithelial hyperplasia/polyp, inflammatory fibrous hyperplasia, and inflammatory gingival hyperplasia.
ABSTRACT
Localized gingival growths are one of the most frequently encountered lesions in the oral cavity. Most of these enlargements are non-neoplastic and reactive by nature. These reactive gingival lesions arise as a result of constant and chronic irritation of gingiva from plaque, calculus, food impactions, irregular restorations, low grade trauma and dental appliances.On clinical examination, it is not always possible to differentiate one specific gingival enlargement from other. To identify these lesions, histopathological examination is required. One of such seen entities is peripheral ossifying fibroma (POF) that is diagnosed by histopathological examination. Peripheral ossifying fibroma is a reactive benign lesion. This is a clinical report of 10 year old female child patient with peripheral ossifying fibroma in the maxillary anterior region with treatment and 6 months follow-up.
ABSTRACT
El granuloma piógeno se considera una lesión reactiva, que surge en respuesta a variados estímulos. Su etiología más común es el trauma y se asocia a higiene oral deficiente. De tamaño variable, la mayoría de los casos asintomáticos y es común su desarrollo en encía. Principalmente se asocia a mujeres jóvenes, en la segunda década de vida, posiblemente debido a un efecto vascular mediado por cambios hormonales. Se presenta el caso de una paciente de 22 años, que presenta una lesión de 10 años de evolución, dolorosa, en encía en relación con los dientes 1.1 a 1.4, la cual clínicamente era compatible con fibroma. Se dispuso una biopsia excisional, y el diagnóstico histológico fue un granuloma piógeno fibrosado. Al control postquirúrgico, se apreció cicatrización excelente, asintomático y sin signos de recidiva posterior a un año de control. El diagnóstico definitivo fue dado mediante estudio histopatológico, lo que indica la vital importancia de este tipo de exámenes cada vez que se realiza la extirpación de alguna lesión. El granuloma piógeno no se puede considerar como una neoplasia verdadera, sino como una lesión reactiva que va modificándose con el tiempo y va variando su estructura.
Pyogenic granuloma is considered as a reactive lesion, which is produced as a response to various stimuli. Its most common cause is trauma which is associated with poor oral hygiene. Resizable, most asymptomatic cases and are common developed in gum. It is mainly associated to young women, during the second decade of life, possibly due to a vascular effect mediated by hormonal changes. A 22-year-patient is presented, with an injury of 10 years of evolution, painful, in gum relative to the teeth 1.1 to 1.4, which was clinically suitable to fibroma. An excisional biopsy was indicated, with the histological diagnosis, and it resulted in a fibrotic pyogenic granuloma. In the post surgical control, wound healing was excellent, asymptomatic and without signs of recurrence after one year of monitoring. The definitive diagnosis was given by a histopathological study, which indicated the vital importance of these tests each time a removal of injury is made. Pyogenic granuloma can not be considered as a true neoplasm but as a reactive lesion, that evolves over time and is changing its structure.
ABSTRACT
El adenocarcinoma no especificado o adenocarcinoma NOS de glándula salival, como comúnmente se le llama por sus siglas en inglés "Not Otherwise Specified", es un tipo de neoplasia que no cumple con los requisitos histológicos establecidos para lograr categorizarla dentro de los tumores que afectan las glándulas salivales. A causa de que son muy poco frecuentes, se ha dificultado su estudio, y el conocimiento que se tiene sobre esta entidad es escaso. El objetivo del presente artículo es el de reportar el caso de un paciente masculino de 68 años de edad, quien desarrolla un adenocarcinoma NOS a partir de una glándula salival menor a escala del paladar. Se detalla el alcance que tiene este tipo de patología en cuanto a la invasión, destrucción y alteración que puede generar localmente en el paciente, así como su comportamiento bajo la radio y quimioterapia.
Adenocarcinoma NOS of a minor salivary gland is a type of tumor that does not meet the histological requirements that it needs to be categorized within other salivary gland tumors. Because of their infrequency, there is little known about these tumors. The aim of this paper is to report the case of a 68 years old male patient, who developed an adenocarcinoma NOS arising from a minor salivary gland in the palate. The local invasion and destruction, as well as its behavior under radio and chemotherapy is discussed.
ABSTRACT
Peripheral ossifying fibroma (POF) is rare pathology and its appearance in maxillary anterior is very rare. It occurs due to irritants such as trauma, microorganisms, plaque, calculus, restorations, and dental appliances. It is also called by other names like epulis, peripheral fibroma with calcification, POF, calcifying fibroblastic granuloma, peripheral cementifying fibroma, peripheral fibroma with cementogenesis, and peripheral cemento-ossifying fibroma. POF may present as a pedunculated swelling, or it may have a broad attachment base. The lesion is usually red to pink with areas of ulceration, and their surface may be smooth or irregular. We are presenting one case of POF in the maxillary anterior region.
ABSTRACT
Gingival enlargements are commonly seen especially localized. Most of these enlargements are non-neoplastic and rather reactive by nature. On clinical examination, it is not always possible to differentiate one specific gingival enlargement from other. Clinically, differentiating one from the other as a specific entity is often not possible. To identify these lesions, histopathological examination is required. One of such seen entities is peripheral ossifying fibroma (POF) that is diagnosed by histopathological examination. Peripheral ossifying is a reactive benign lesion. A clinical report of 23 years old male with POF maxillary left canine and premolar region is reported with treatment and 1-year follow-up.
Subject(s)
Cuspid/surgery , Fibroma, Ossifying/anatomy & histology , Fibroma, Ossifying/classification , Fibroma, Ossifying/pathology , Fibroma, Ossifying/surgery , Follow-Up Studies , Gingiva/surgery , Humans , Incisor/surgery , Male , Review Literature as Topic , Young AdultABSTRACT
Peripheral ossifying fibroma (POF) is a relatively uncommon gingival growth that is considered to be reactive in nature and appear secondary to irritation or trauma. It presents as an exophytic growth with smooth surface. POF in older age group, observance of calcification in radiograph of excised specimen, pathologic migration, mobility and size greater than 2 cm is an occasional entity. The article presents such a rare case of POF in a 60-year-old female patient which was treated by surgical excision. This case contradicts the logic that this lesion occurs in teenagers and in second and third decades of life
El fibroma osificante periférico (FOP) es un crecimiento gingival poco común, considerado reactivo por su naturaleza y en general se manifiesta secundario a una irritación o trauma y se presenta como un crecimiento exofítico de superficie lisa. En grupos de mayor edad, el FOP muestra calcificación radiográfica, migración patológica, movilidad y un tamaño mayor de 2 cm, es de carácter ocasional. Se presenta un caso raro de FOP en una paciente de 60 años que fue tratado mediante excisión quirúrgica. Este caso, contradice su lógica de aparición en adolescentes o adultos entre la segunda y tercera década de la vida
Subject(s)
Humans , Female , Middle Aged , Bone Neoplasms/surgery , Bone Neoplasms/diagnosis , Gingival Neoplasms/surgery , Gingival Neoplasms/diagnosis , Fibroma, Ossifying/surgery , Fibroma, Ossifying/diagnosis , CalcinosisABSTRACT
Peripheral ossifying fibroma (POF) is a solitary over growth of the gingiva known to arise from the cells of the periodontal ligament. The lesions usually start as a painless overgrowth of the interdental papilla unless associated with trauma and gradually involve the other counter parts of the gingiva. The lesion is more considered to be an inflammatory or reactive process rather than to be neoplastic. Here, the authors present a unique case of multiple POF in a young male adult aged 24 years where surgical excision was carried out quadrant wise. The biopsy specimen from multiple sites revealed similar histopathologic features consistent with POF, but also with the multicentric presentation of POF, which is a unique phenomenon. Multicentric variant of POF is indeed a rare case being only the second case so far which has been documented. Management of such case needs a multidisciplinary approach to prevent the recurrence along with regular long time follow-up.
Subject(s)
Adult , Fibroma, Ossifying/classification , Fibroma, Ossifying/diagnosis , Fibroma, Ossifying/therapy , Humans , MaleABSTRACT
El Fibroma Osificante Periférico (FOP) es una hiperplasia reactiva del tejido conjuntivo que contiene áreas de hueso. Se origina a partir del ligamento periodontal. Se presenta con frecuencia en la segunda y tercera década de vida, con mayor frecuencia en el género femenino. Se observa como una lesión sésil o pediculada, circunscrita, lisa o ulcerada, firme y del mismo color de la mucosa, asintomático. Se localiza en la encía, por lo general en papilas interdentales. En gran parte de los casos no se lesiona el hueso subyacente. Se reporta un caso de un paciente masculino de 47 años de edad, quien es referido por su odontólogo tratado por una lesión en el maxilar. El paciente refiere inicio de la enfermedad hace aproximadamente un año, que comienza con un aumento de volumen de la encía, asintomático, sangrante y asociada a dientes con movilidad dentaria. Al examen extrabucal se observa un aumento de volumen de la mejilla izquierda que produce asimetría facial. Intrabucalmente se observa una lesión de naturaleza tumoral que se desprende de la encía vestibular distal al 25 al diente 28, de aproximadamente 3cm de diámetro, circunscrita, roja, sangrante y de superficie ulcerada. El examen radiográfico revela una gran resorción ósea del hueso alveolar que produjo movilidad de los dientes 25, 27 y 28. Se planteó como diagnóstico provisional: Lesión Periférica de Células Gigantes y como diagnósticos diferenciales: Fibroma Osificante Periférico, Granuloma Piogénico. La conducta a seguir fue extirpación quirúrgica de la lesión para posterior estudio histopatológico con exodoncias de los dientes 25, 27 y 28. Se destaca la importancia de este caso por su presentación clínica de gran tamaño y la destrucción ósea que produjo, condición que determinó las exodoncias de los dientes involucrados, hecho que es inusual para este tipo de patologías
Peripheral ossifying fibroma (POF) is a reactive hyperplasia of connective tissue containing areas of bone. It originates from the periodontal ligament. It occurs frequently in the second and third decades, predominantly in females. It appears as a sessile or pedunculated lesion, circumscribed, smooth or ulcerated, firm, and the color of the mucosa, asymptomatic. Located in the gum, usually in interdental papillae. In most cases no underlying bone is injured. We report a case of a male patient aged 47 who are referred by your dentist treated for an injury to the jaw. The patient reported onset of illness for about a year, which begins with an enlargement of the gums, asymptomatic, bleeding and teeth associated with tooth mobility. Extra-oral examination showed an increase in volume of the left cheek that produces facial asymmetry. The oral examination shows tumoral lesion of nature that emerges from the buccal gingiva distal to the tooth 28 to 25, approximately 3 cm in diameter, circumscribed, red, bleeding and ulcerated surface. Radiographic examination reveals a large alveolar bone resorption resulting in tooth mobility 25, 27 and 28. Was raised as a provisional diagnosis: Peripheral giant cell lesion as a differential diagnosis: peripheral ossifying fibroma, pyogenic granuloma. The action to take was surgical removal of the lesion for subsequent histopathological study extractions of teeth 25, 27 and 28. The importance of this case the clinical presentation and the large bone destruction that occurred, a condition that determined the extractions of the teeth involved, a fact which is unusual for this type of pathology
Subject(s)
Humans , Male , Adult , Fibroma, Ossifying/surgery , Fibroma, Ossifying/diagnosis , Surgery, Oral , PseudolymphomaABSTRACT
The present retrospective study was carried out to investigate the clinical and histological features of 51 cases of peripheral ossifying fibroma (POF). The clinical information such as age, sex, location, color of the lesion, pedunculated/ sessile was recorded. The lesion was found more frequently in females (62.75%) and 2nd decade. It had a predilection for the maxillary gingiva (68.63%) and the incisor/cuspid region (72.55%). The average age of occurrence was 38.5 years. Histologically, the surface epithelium was ulcerated in 15(29.41%) cases and in the rest, it was non-ulcerated. The lesion exhibited highly cellular fibroblastic tissue in 12(23.53%) cases, and in the remaining cases it showed more fibrous tissue. Mineralized products in the form of trabeculae of woven and/ or lamellar bone (61%), cementum like material (12%) and dystrophic calcification (27%) were noticed.
ABSTRACT
PURPOSE: Gingival growths are one of the most frequently encountered lesions in the oral cavity. Most of these lesions are innocuous, but some do have malignant potential. Different lesions with similar clinical presentations make it difficult to arrive at a correct diagnosis. One of the infrequently occurring gingival lesions is peripheral ossifying fibroma (POF). Lesions with histological features similar to POF have been given various names, adding to the confusion. We report the varied clinicopathological features of 3 cases of POF, discuss the contentious nomenclature and investigate the possible etiopathogenesis of this disease. CASE DESCRIPTION: Three cases of gingival growths (POF) are reported. Two of the lesions occurred in the maxillary anterior region, while the third occurred in the mandibular posterior region. Two of the cases showed radiographic evidence of bone loss. An excision biopsy was performed in all three cases. CONCLUSION: Because the rate of recurrence for peripheral ossifying fibroma is 8% to 20%, close postoperative monitoring is required. It is also necessary to use consistent and specific nomenclature in the literature to avoid confusion and the loss of important data.
OBJETIVO: Crescimentos gengivais são uma das doenças mais frequentemente encontradas na cavidade oral. A maioria dessas lesões são inócuas, mas alguns têm potencial maligno. Lesões diferentes com apresentações clínicas semelhantes tornam difícil um diagnóstico correto. Uma das lesões gengivais que ocorre raramente é o fibroma ossificante periférico (FOP). Lesões com características histológicas semelhantes ao FOP têm nomenclatura diferente, aumentando a confusão. Este artigo relata as características clinico-patológicos de 3 casos de fibroma ossificante periférico. DESCRIÇÃO DO CASO: Três casos de FOP são relatados. Duas das lesões ocorreram na região anterior da maxila, enquanto a terceira localizava-se na região posterior da mandíbula. Dois dos casos apresentaram evidências radiográficas de perda óssea. Biópsia excisional foi realizada em todos os três casos. CONCLUSÃO: Como a taxa de recorrência para FOP é de 8% a 20%, o monitoramento pós-operatório é necessário. Deve-se utilizar nomenclatura consistente e específica na literatura para evitar confusão e perda de dados importantes.
Subject(s)
Mouth/physiology , Fibroma, Ossifying/diagnosis , Fibroma/diagnosisABSTRACT
Localized growths are commonly seen on the gingiva. Many of these enlargements are considered to be reactive rather than neoplastic in nature. Clinically differentiating one from the other as a specific entity is often not possible. Histopathologic examination is needed in order to positively identify the lesion. The peripheral ossifying fibroma is one such lesion. We report in this study, the clinical report of a 20-yr-old male patient with a peripheral ossifying fibroma in the maxilla exhibiting significant size with the disease duration of 1 year. The signs of recurrence in spite of thorough excision and debridement exposed the need for further study of the causes of recurrence and possible modes to avoid the situation. Clinical, radiographical and histological characteristics are discussed and recommendations regarding treatment and follow-up are provided.
Aumentos de volumen localizados se observan con frecuencia en la encía. Muchos de estos crecimientos se consideran de tipo reaccional más que de naturaleza neoplásica. Clínicamente diferenciar uno del otro como una entidad específica no siempre es posible. El examen histopatológico es necesario con el fin de identificar positivamente a la lesión. El fibroma osificante periférico es una de estas lesiones. Se presenta en este estudio, el informe clínico de un paciente de sexo masculino de 20 años de edad con un fibroma osificante periférico en el maxilar de un tamaño significativo con 1 año de duración de la lesión. Los signos de recurrencia a pesar de la escisión completa y desbridamiento expusieron la necesidad de estudiar más a fondo las causas de la recurrencia y los posibles modos de evitar la situación. Las características clínicas, radiográficas e histológicas son discutidas junto a recomendaciones sobre el tratamiento y seguimiento.
Subject(s)
Humans , Male , Adult , Fibroma, Ossifying/pathology , Fibroma, Ossifying , Gingival Neoplasms/pathology , Gingival Neoplasms , Fibroma, Ossifying/surgery , Maxilla , Neoplasm Recurrence, Local , Gingival Neoplasms/surgeryABSTRACT
Peripheral ossifying fibroma (POF) is considered a non-neoplastic growth of the gum, classified as a reactive hyperplastic inflammatory lesion. The FOP has been widely accepted that its histogenesis occurs from the membrane of periosteum or periodontal ligament. The treatment of choice is surgical removal, whichever extend the incision to the periosteum and periodontal ligament. This work aims at reporting a clinical case of peripheral ossifying fibroma in a 40-year-old patient, situated in the right maxillary tuberosity. We shall discuss, through a brief review of literature, the ethiopathogeny, clinical and radiographic aspects, as well as the treatment of this lesion
Fibroma Osificante Periférico (FOP) es considerado como un crecimiento no neoplásico de la encía, clasificado como una lesión reactiva hiperplásica inflamatoria. El FOP ha sido ampliamente acepto que su histogénesis ocurre a partir de la membrana del periostio o del ligamento periodontal. El tratamiento de escoja es la remoción quirúrgica, debiéndose extender la incisión al periostio y ligamento periodontal. Este trabajo tiene como objetivo de reportar un caso clínico de Fibroma Osificante Periférico en una mujer de 40 años, localizado en la tuberosidad derecha del maxilar. Se discutirá, a través de una breve revisión bibliográfica, la patogenia, aspectos clínicos y radiográficos y tratamiento de esta lesión