Desmoplastic fibroma of the jaw bones: A series of twenty-two cases

Kahraman, Devrim; Karakoyunlu, Berkem; Karagece, Ulker; Ertaş, Ümit; Günhan, Ömer

doi:10.1016/j.jbo.2020.100333

Cited by 10 publications

(15 citation statements)

References 25 publications

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“…Indeed, these benign tumors mainly affect the mandible, femur, humerus, and pelvic bones. 27,28 To our knowledge, this is the second case of a desmoplastic fibroid tumor of the sacrum. 29 Hence, there is little experience with the surgical treatment and adjuvant therapy for this kind of sacral tumor.…”

Section: Discussion Observationsmentioning

confidence: 81%

Nerve preservation during partial sacrectomy by two-stage anterior and posterior approach: illustrative case

Guadarrama-Ortíz¹,

Oca-Vargas²,

Choreño-Parra³

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND Preserving the neurological function of sacral nerves during total or partial sacrectomy is challenging. OBSERVATIONS The authors describe a case of an osseous desmoplastic fibroma of the sacrum in a 51-year-old woman. The patient attended the authors’ institution with loss of muscle strength and sensitivity impairment in both legs, gait instability, bowel constipation, urinary incontinence, and weight loss. Preoperative magnetic resonance imaging and positron emission tomography/computed tomography showed intrapelvic and posterior extension of the tumor but sparing of S1 and the sacroiliac and lumbosacral joints. After a multidisciplinary discussion of the case, a staged anterior–posterior approach to the sacrum was chosen. The abdominal approach allowed full mobilization of the uterus, ovaries, bladder, and colon and protection of iliac vessels. After tumor resection, a synthetic surgical mesh was placed over the sacrum to minimize soft tissue defects. Then, the posterior stage allowed the authors to perform a bicortical osteotomy, achieving wide tumor excision with minimal nerve root injury. Spinopelvic fixation was not necessary, because both sacroiliac and lumbosacral joints remained intact. A few days after the surgery, the patient restarted ambulation and recovered sphincter control. LESSONS Multidisciplinary planning and a staged abdominal and posterior approach for partial sacrectomy were fundamental to preserve neurological function in this case.

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Section: Discussion Observationsmentioning

confidence: 81%

Nerve preservation during partial sacrectomy by two-stage anterior and posterior approach: illustrative case

Guadarrama-Ortíz¹,

Oca-Vargas²,

Choreño-Parra³

et al. 2021

Journal of Neurosurgery: Case Lessons

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“…Immunohistochemical staining difference of jaw bone DF from other soft tissue and bone lesions may be related to the origination of jaw bone from the neural crest. (10) Proliferation markers like Ki-67 can be used as a surrogate marker for evaluating the tumor's aggressiveness. A low rate of predicted cell turnover in DF has been reported.…”

Section: Case Reportmentioning

confidence: 99%

Desmoplastic Fibroma of the Mandible in an Infant: A Case Report

Amr M. Ibrahim,

Hassan Sadek,

Raafat Tammam

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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Desmoplastic fibroma (DF) is rare benign bone tumor affecting primarily the long bones and the mandible. Mandibular or the maxillary DF usually occurs in young adults and is more common in the second and third decades of life. Bone destruction may progress with a tendency to invade the surrounding soft tissues. In this case report, we define the clinical, radiological, and histological features of a rare case of DF of the mandible in an Eleven-months-old male. The management of the lesion consisted of mandibular resection and immediate reconstruction with rib graft. Good healing, no evidence of recurrence, excellent esthetic and functional results after Six months follow up. We hope that our case report will shed new light on this special entity.

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“…12 Clinically, these tumors are often located in the posterior side of the mandible with slow growth and absence of pain. 13 Meanwhile, clinical and radiographic features often show clear signs of an existing desmoplastic fibroma, however, a histopathological examination is required to determine a definite diagnosis. 12,13 This study describes a rare case report of cemento ossifying fibroma that had been previously diagnosed as desmoplastic fibroma with a tumor mass located in the anterior of the maxilla which is a relatively rare location.…”

Section: Introductionmentioning

confidence: 99%

“…13 Meanwhile, clinical and radiographic features often show clear signs of an existing desmoplastic fibroma, however, a histopathological examination is required to determine a definite diagnosis. 12,13 This study describes a rare case report of cemento ossifying fibroma that had been previously diagnosed as desmoplastic fibroma with a tumor mass located in the anterior of the maxilla which is a relatively rare location. The patient was treated with resection followed by reconstruction using a free fibular flap (FFF).…”

Section: Introductionmentioning

confidence: 99%

Desmoplastic Fibroma and Cemento Ossifying Fibroma of The Anterior Maxilla: A Rare Case Report

2021

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Tumors located in the maxillofacial part of the body were classified by WHO in 2017 and among these are intraosseous form of fibromatosis known as Desmoplastic and Cemento-ossifying fibromas. These tumors usually occur in the head and neck region, especially in the mandible and are relatively rare in the maxilla. Meanwhile, this study aims to discribe a rare case of the cemento ossifying fibroma that had been previously diagnosed as desmoplastic fibroma with a mass tumor in the anterior of the maxilla. A 22 years old female reported to the Cipto Mangkusumo Hospital with the main complaint of a lump in the right side of the upper jaw which appeared 2 years prior to the operation. In April 2017, the patient had a biopsy in Tarakan Hospital and the result was a desmoplastic fibroma. Due to the lump enlargement, the patient was admitted to RSCM in July 2019 and had biopsy incision with a diagnosis of cemento ossifying fibroma which was confirmed by the histopathological examination and histology report. The resection of the right part of maxilla was conducted alongside with reconstruction using the free fibular flap. Moreover, cemento ossifying fibroma and desmoplastic fibroma shared similar features, namely, clinical, histological and radiological features which are important in establishing the diagnosis and treatment of patient. Hence, extensive enucleation or resection is required due to the progressive nature of the tumor to prevent the potential for further recurrences.

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Desmoplastic fibroma of the jaw bones: A series of twenty-two cases

Cited by 10 publications

References 25 publications

Nerve preservation during partial sacrectomy by two-stage anterior and posterior approach: illustrative case

Nerve preservation during partial sacrectomy by two-stage anterior and posterior approach: illustrative case

Desmoplastic Fibroma of the Mandible in an Infant: A Case Report

Desmoplastic Fibroma and Cemento Ossifying Fibroma of The Anterior Maxilla: A Rare Case Report

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