Kramer Jill M, Doscher Jesse C, Ruvinsky Mikhail, Fantasia John E
Oral and Maxillofacial Pathology, Department of Dental Medicine, Long Island Jewish Medical Center, New Hyde Park, New York 11040, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jun;109(6):878-82. doi: 10.1016/j.tripleo.2010.01.020.
Aponeurotic fibroma (AF) was originally described by Keasbey in 1953 as juvenile aponeurotic fibroma, most commonly occurring in the distal extremities. Initially described in children and adolescents, AF is now recognized to occur over a wide age range and at various anatomic sites. A variant of this lesion, termed calcifying aponeurotic fibroma (CAF) has been described. CAF is a slow-growing, solitary, and painless nodule often adherent to tendon, fascia, or periosteum. We report a patient who presented with a firm lobulated mass, portions of which were fixed to the left ascending mandibular ramus. The lesion represented a CAF arising juxtacortical to the mandible, with the calcified component composed of mature bone exhibiting focal areas of hematopoiesis. Additional reports of CAF occurring in the head and neck region are reviewed.
腱膜纤维瘤（AF）最初由基斯贝于1953年描述为青少年腱膜纤维瘤，最常发生于四肢远端。AF最初描述于儿童和青少年，现在已知其发病年龄范围广泛，且发生于各种解剖部位。已经描述了这种病变的一种变体，称为钙化性腱膜纤维瘤（CAF）。CAF是一种生长缓慢、孤立且无痛的结节，常附着于肌腱、筋膜或骨膜。我们报告了一名患者，其表现为一个坚实的分叶状肿块，其中部分固定于左下颌升支。该病变为起源于下颌骨皮质旁的CAF，钙化成分由成熟骨组成，可见局灶性造血区域。本文还回顾了头颈部区域发生CAF的其他报道。
