Yu Jenny L, Kapur Raj P, Susarla Srinivas M
Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, Wash.
Department of Pathology, Seattle Children's Hospital and University of Washington, Seattle, Wash.
Plast Reconstr Surg Glob Open. 2022 Jun 15;10(6):e4382. doi: 10.1097/GOX.0000000000004382. eCollection 2022 Jun.
We present the case of a 13-year-old girl who developed numerous gingival masses that recurred after two prior resections. Following the initial resection as a child, she reported that there was a period of resolution for several years before recurrence as a teenager. After the second resection, the masses recurred after 4 months. The lesions obscured the majority of her dentition and interfered with speech, eating, and oral hygiene. The patient underwent staged resection of the masses, and the wounds were allowed to heal by secondary intention. The histopathologic findings of the specimens were consistent with a diagnosis of peripheral ossifying fibroma, which is unusual as these are generally solitary lesions. We believe that this case brings attention to an underrecognized and atypical presentation of peripheral ossifying fibroma, and it should be considered in the differential diagnosis of multicentric gingival masses.
我们报告了一例13岁女孩的病例，她出现了大量牙龈肿物，在之前两次切除术后复发。小时候首次切除后，她称在青少年复发前有几年病情缓解期。第二次切除术后，肿物在4个月后复发。这些病变遮盖了她大部分牙列，影响了言语、进食和口腔卫生。患者接受了肿物分期切除术，伤口通过二期愈合。标本的组织病理学检查结果符合外周骨化性纤维瘤的诊断，这很不寻常，因为这些通常是孤立性病变。我们认为该病例引起了对外周骨化性纤维瘤未被充分认识的非典型表现的关注，在多中心牙龈肿物的鉴别诊断中应考虑到这一点。
