Fibrosarcoma of the mandible: a diagnostic dilemma.
نویسندگان
چکیده
Fibrosarcoma is a malignant mesenchymal neoplasm of fibroblasts that rarely affects oral cavity and can cause local recurrences or metastasis. The aetiologic factors are still unknown, but many authors have reported the radiation therapy history as an important aetiological factor, followed by trauma and underlying conditions like Paget's disease, fibrous dysplasia or chronic osteomyelitis. Fibrosarcoma of mandible is rare, with an incidence which ranges from 0-6.1% of all primary fibrosarcomas of the bone. This paper has described a case of a swelling in the mandible of a 17-years old female who had a radiolucency in association with crown of an impacted tooth and foci of radiopacity, which led to a misdiagnosis of either an odontogenic lesion or a bone tumour, but proved to be a fibrosarcoma on histopathological and immunohistochemistry investigations.
منابع مشابه
Advancing mandibular swelling: a diagnostic dilemma.
Asymmetrical swelling of the mandible in adolescence may pose a significant diagnostic dilemma. The differential diagnosis ranges from traumatic, infectious, and metabolic processes to benign and malignant tumors. Also may present with similar clinical and radiological features, making an accurate diagnosis quite difficult. This is an illustrative case involving a 30-year-old female who initial...
متن کاملCemento-Ossifying Fibroma A Radiographic Diagnostic Dilemma
Cemento-ossifying fibroma (COF) is a rare benign fibro-osseous tumor. The radiographic and clinical features of this lesion are unpredictable and variable. In this report, the patient was a 12-year old girl with a painless swelling which demonstrated an opaque lesion with radiolucent zone to involve left posterior portion of the mandible on panoramic radiography. The radiographic manifestati...
متن کاملAggressive osteoblastoma of the mandible: A diagnostic dilemma
The clinical facts and radiologic findings are very important in the diagnostic evaluation of jaw swellings, and must be considered along with histologic findings. Osteoblastoma, an uncommon primary lesion of the bone that occasionally arises in the jaws, is one such lesion causing a localized jaw swelling. Clinically, osteoblastoma can be symptomatic or even remain symptom-free, and may be dia...
متن کاملAggressive Fibromatosis versus Low Grade Fibrosarcoma - a Diagnostic Dilemma
The fibromatosis are a group of lesions that can infiltrate widely, replacing muscle, fat and bone with fibrous tissue of varying cellularity. They do not develop distant metastases, however, locally they show an aggressive and infiltrative behaviour. The major challenge in the diagnosis lies in not over or under diagnose of fibrosarcoma and an underdiagnosis of reactive fibrosis. But this hist...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of clinical and diagnostic research : JCDR
دوره 7 8 شماره
صفحات -
تاریخ انتشار 2013