Service d'otorhinolaryngologie et de chirurgie cervicofaciale, centre hospitalier et universitaire d'Angers, 4, rue Larrey, 49033 Angers cedex 01, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2011 Dec;128(6):317-20. doi: 10.1016/j.anorl.2011.02.007. Epub 2011 May 18.
Juvenile ossifying fibroma is a rare, benign fibro-osseous tumour. In the light of a clinical case, the authors review the diagnosis, treatment and histological classification of these tumours.
A seven-year-old child presented with a naso-orbito-ethmoidal trabecular juvenile ossifying fibroma. Complete surgical resection via a transfacial approach was performed after a preoperative work-up comprising head and neck CT and MRI.
A review of the literature reveals that treatment of this aggressive tumour must comprise complete surgical resection via an incision determined by local tumour extension.
Patients with juvenile ossifying fibroma tumour require long-term follow-up due to the high recurrence rate.
青少年骨化性纤维瘤是一种罕见的良性纤维骨性肿瘤。作者结合 1 例临床病例,就此类肿瘤的诊断、治疗和组织学分类进行了复习。
1 名 7 岁儿童因鼻眶筛骨小梁型青少年骨化性纤维瘤就诊。经过术前的头颈部 CT 和 MRI 检查,采用经面中部入路进行了完全的外科切除。
文献复习显示,此类侵袭性肿瘤的治疗必须通过根据局部肿瘤扩散程度确定的切口进行完全的外科切除。
由于青少年骨化性纤维瘤的高复发率,患者需要长期随访。