A Rare Case of Ossifying Fibroma with Cystic Degeneration: Diagnostic Challenge with Literature Review

Sharma, Gitika; Kamboj, Mala; Narwal, Anjali; Devi, Anju; Singh, Virendra; Gupta, Ambika

doi:10.1007/s12070-019-01656-4

Cited by 3 publications

(7 citation statements)

References 11 publications

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“…Although the ABC remains the most frequently reported type of cystic degeneration associated to COF, non-specific cyst degeneration might be observed [4] . As presented in our case report, the secondary changes, which although appeared filled with cystic liquid and lacked epithelial lining, does not meet the diagnostic need for SBC or ABC.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors point that fibro-osseous lesions with concomitant SBC or cystic degeneration require aggressive management [7] . In several cases surgical resection was the management option, in these cases cystic degeneration consisted of ABCs [4] , [6] , [13] and non-specific cystic degeneration [7] . One case reported, considering the benign nature of the lesion, radiological and clinical monitoring as management option [5] .…”

Section: Discussionmentioning

confidence: 99%

“…In the jaws this association has not been well documented, but non–epithelial-lined cysts have been reported in association with fibrous dysplasia [1] , [2] , [3] , cemento-ossifying fibroma (COF) [4] , [5] , [6] , [7] , and, more frequently, cemento-osseous dysplasia [1] .…”

Section: Introductionmentioning

confidence: 99%

“…Through this paper we tend to highlight a case of COF associated to non-specific cystic degeneration. In literature, few cases have been reported with similar diagnosis [4] . This case appears as an additional case to highlight nonspecific cystic changes in COF, but more importantly to highlight the atypical imaging features along with diagnosis buildup and particular response to conservative management option.…”

Section: Introductionmentioning

confidence: 99%

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Cystic degeneration in cemento-ossifying fibroma: Diagnosis challenge and conservative management - Case report

Mouna

Taleb

2022

International Journal of Surgery Case Reports

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Introduction and importance Cemento ossifying fibroma (COF) is an encapsulated lesion that is often found in the mandible of middle-aged females. Cystic degeneration may be associated to several osseous lesion. This particular presentation is not well documented in the jaws. Case presentation Patient presented was referred to oral surgery department for abnormal radiolucency in the right mandible on panoramic X-ray. The patient did not have any specific medical history and reported painful areas in right mandibular region. During diagnosis assessment, ameloblastoma was first considered due to the presence of cystic lesion clusters. But the mixed image in previous X-ray pointed to a fibro-osseous with a change in pathogenesis pathway. Diagnosis buildup was based on previous radiographs, incisional biopsy was proposed to identify the histopathological feature of the lesion before proceeding to further investigation (CBCT) or treatments (decompression or enucleation). COF of the jaws associated to non-specific cystic changes was the histopathological diagnosis. Delay in treatment showed an unexpected outcome with good clinical and bone healing. Clinical discussion and conclusion This case shows the importance of previous radiographs, when available, in diagnosis buildup. The fibro-osseous lesion with cystic change may show a good biological response with conservative management. A clinical and radiological surveillance after a conservative treatment may be a better option in treatment of these lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cystic degeneration in cemento-ossifying fibroma: Diagnosis challenge and conservative management - Case report

Mouna

Taleb

2022

International Journal of Surgery Case Reports

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“…Sin embargo, se han reportado lesiones radiolúcidas en pacientes mayor edad en lesiones de FCO (9) . Con respecto a la locularidad de los FO y FCO, la mayoría de las lesiones de la presente revisión fueron uniloculares (19)(20)(21)(23)(24)(25)(26)(27)(28)(29)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)45,46,48) . Esto se condice con la literatura, que señala una relación de lesiones uniloculares / multiloculares de 5:1.…”

Section: Discussionunclassified

Clínica, epidemiología e imagenología del fibroma osificante y fibroma cemento osificante: revisión de casos reportados en la literatura

Aedo¹,

Rivas²,

Rojas³

et al. 2022

Av Odontoestomatol

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Introducción: El fibroma osificante (FO) y el fibroma cemento osificante (FCO) son patologías distintas, que hasta el 2017 se consideraban como una. A la fecha no se han comparado las características del FO y el FCO. La presente revisión tuvo como objetivo analizar características clínicas, epidemiológicas e imagenológicas del FO y FCO en los casos publicados. Materiales y métodos: Se realizó una búsqueda de casos clínicos de FO y FCOpublicados desde el año 2015 en PubMed, Scopus y Web of Science, mediante la estrategia de búsqueda ("Ossifying Fibroma" OR "Cemento Ossifying Fibroma") AND (Craniofacial OR Jaws). Los casos debían presentar información clínica, imagenológica e histológica suficientes para confirmar su diagnóstico, patrón histológico y comparar sus características. Revisión: Se incluyeron 32 artículos, con 32 casos y 34 lesiones, siendo 6 FCO y 28 FO. Los FO y FCO se diferencian por su edad y ubicación: mientras los FCO se presentan en edades adultas, exclusivamente en los maxilares y en relación con tejidos dentarios, los FO lo hacen principalmente en niños y jóvenes, y en cualquier hueso. Los FO y FCO tienen las mismas características imagenológicas: son lesiones uniloculares o multiloculares, con distintos grados de radiodensidad, límites definidos y una radiolucidez periférica. Sin embargo, los casos de FO trabecular pueden no presentar esta radiolucidez periférica. Conclusión: Los FO y FCO son patologías, clínica y epidemiológicamente similares, y con las mismas características imagenológicas. Por lo que establecer diferencias histológicas es esencial para un correcto diagnóstico.

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Paradigm Shift in World Health Organization Classification of Odontogenic Tumors - a 12 Years of Institutional Experience

yadav,

Narwal,

Kamboj

et al. 2024

Preprint

Self Cite

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Introduction: Due to a lack of consistent international identification standards, the classification of odontogenic tumors (OTs) has undergone various modifications over the years. Their prevalence and frequency distribution were significantly altered as a result of this reclassification. AIM The purpose of this study was to highlight the effect of shifting classification systems on the prevalence and relative frequency of odontogenic tumors. The secondary goal was to compare the demographics of distinct histological categories of odontogenic tumors to published literature. Methods This was hospital-based retrospective research that obtained case data on odontogenic tumors diagnosed between 2010 and 2022. The categorization was based on the 2005, 2017, and 2022 World Health Organization (WHO) classifications and the prevalence and frequency distribution of odontogenic tumors using the WHO 2005, 2017, and 2022 classifications. Results From 2010 to 2022, a total of 226,145 and 149 cases of odontogenic tumors were detected using the 2005, 2017, and 2022 WHO categorization methods. Conclusions The variability in odontogenic tumors might be attributed in part to continually evolving classification systems. Variations in the relative incidence of different histological kinds of odontogenic tumors may represent varied populations with varying genetic and environmental variables.

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A Rare Case of Ossifying Fibroma with Cystic Degeneration: Diagnostic Challenge with Literature Review

Cited by 3 publications

References 11 publications

Cystic degeneration in cemento-ossifying fibroma: Diagnosis challenge and conservative management - Case report

Cystic degeneration in cemento-ossifying fibroma: Diagnosis challenge and conservative management - Case report

Clínica, epidemiología e imagenología del fibroma osificante y fibroma cemento osificante: revisión de casos reportados en la literatura

Paradigm Shift in World Health Organization Classification of Odontogenic Tumors - a 12 Years of Institutional Experience

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