Sarmento Dmitry José de Santana, Monteiro Bárbara Vanessa de Brito, de Medeiros Ana Miryam Costa, da Silveira Ericka Janine Dantas
Post-Graduate Program, Oral Pathology, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Oral Maxillofac Surg. 2013 Mar;17(1):43-6. doi: 10.1007/s10006-012-0314-0. Epub 2012 Jan 17.
Florid cemento-osseous dysplasia (FCOD) has been described as a condition that characteristically affects the jaws of middle-aged black women. Radiographically, FCOD appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. FCOD is usually asymptomatic. In severe cases, focal expansion may occur due to infection. Management of the symptomatic patient is more difficult due to the avascular nature of the lesion which contributes to susceptibility severe infection, bone sequestration, and osteomyelitis when surgery is performed.
This paper presents a rare case of severe FCOD; the black woman patient was diagnosed based on clinical and radiographic findings and treated conservatively. The examination of panoramic radiographs revealed a multiple sclerotic masses with radiolucent borders, found in the mandible and maxilla which were symmetrical at presentation. The patient continuous with the follow-up.
This report confirms that a diagnosis can be made with accurate clinical and radiographic assessment. The correct selection of treatment for FCOD depends on this information.
florid骨化性纤维瘤（FCOD）被描述为一种典型影响中年黑人女性颌骨的疾病。在影像学上，FCOD表现为致密的、分叶状肿块，常对称位于颌骨的不同区域。FCOD通常无症状。在严重病例中，由于感染可能会出现局部膨胀。由于病变的无血管性质，当进行手术时，有症状患者的管理更加困难，这会导致易发生严重感染、骨坏死和骨髓炎。
本文介绍了一例罕见的严重FCOD病例；该黑人女性患者根据临床和影像学检查结果确诊，并接受了保守治疗。全景X线片检查显示下颌骨和上颌骨有多个边界为透光的硬化性肿块，初诊时对称。患者持续接受随访。
本报告证实，通过准确的临床和影像学评估可以做出诊断。FCOD治疗方法的正确选择取决于这些信息。
