Hasturk Askin, Tun Kagan, Guvenc Yahya, Kaptanoglu Erkan
Department of Neurosurgery, Ankara Numune Education and Research Hospital, Ankara, Turkey.
J Craniofac Surg. 2010 May;21(3):768-70. doi: 10.1097/SCS.0b013e3181d80a02.
Fibrous lesions of the head and the maxillofacial region are generally slow-developing benign tumors that may aggressively take course in clinical terms. These locally destructive lesions show a high recurrence rates unless they are removed gross totally. Sarcomatoid degeneration is also reported to develop in recurring lesions. Difficulties in the diagnosis, classification, and treatment make this entity complex for several years. These tumors are frequently seen among children and young adults. The maxilla and the mandibula are the 2 most common sites that the tumor originates. In our article, we discuss a 59-year-old man whose condition was diagnosed as an ossified fibroma revealing craniofacial extension. Accompanied by literature findings, it has been underlined that, as well as with the pathologic criteria, clinical features and radiologic images should be evaluated together for a specific diagnosis in fibrous lesions.
头面部和颌面部的纤维性病变通常是发展缓慢的良性肿瘤,但在临床上可能呈侵袭性病程。这些具有局部破坏性的病变除非完全切除,否则复发率很高。据报道,复发性病变还会发生肉瘤样变性。多年来,诊断、分类和治疗方面的困难使得这个实体疾病变得复杂。这些肿瘤在儿童和年轻人中很常见。上颌骨和下颌骨是肿瘤最常起源的两个部位。在我们的文章中,我们讨论了一名59岁的男性,其病情被诊断为骨化性纤维瘤并伴有颅面扩展。结合文献研究结果强调,对于纤维性病变的明确诊断,除了病理标准外,还应综合评估临床特征和影像学图像。