Gušić Ivana, Stojilković Marija, Mirnić Jelena, Veljović Tanja, Đurić Milanko
Department of Dental Medicine, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia.
Department for Periodontology and Oral Medicine, Dentistry Clinic of Vojvodina, Hajduk Veljkova 12, 21000 Novi Sad, Serbia.
J Clin Med. 2024 Nov 27;13(23):7187. doi: 10.3390/jcm13237187.
This report aims to augment the presently limited knowledge on the characteristics of jawbone osteomas in children by presenting an exceptionally rare case of this tumor located on the buccal aspect of the alveolar process of the maxilla in a 13-year-old boy. A well-defined, painless, bony, hard, spherical enlargement on the maxillary alveolar ridge was identified and thoroughly evaluated through clinical examination, panoramic radiographs, CBCT (Cone Beam Computed Tomography) scans, and histopathological analysis. The tumor was surgically removed, and the patient participated in postoperative clinical follow-ups for eight years. Based on the clinical characteristics and CBCT scan findings, a jawbone tumor was suspected. After histopathological analysis, the definitive diagnosis was a peripheral trabecular osteoma. There were no signs of tumor recurrence during the postoperative follow-up period. This report presents the youngest documented case of peripheral osteoma in the maxillary alveolar ridge, and highlights the need to consider this rare lesion in the differential diagnosis of similar pathological changes in this region, even in pediatric patients. The absence of clinical signs of recurrence over eight years of follow-up underscores the long-term stability and favorable prognosis of peripheral jawbone osteoma in children.
本报告旨在通过呈现一例极为罕见的病例，增加目前关于儿童颌骨骨瘤特征的有限知识。该病例为一名13岁男孩，肿瘤位于上颌牙槽突的颊侧。通过临床检查、全景X线片、锥形束计算机断层扫描（CBCT）以及组织病理学分析，对上颌牙槽嵴上一个边界清晰、无痛、骨性、坚硬的球形肿物进行了全面评估。肿瘤经手术切除，患者术后接受了八年的临床随访。根据临床特征和CBCT扫描结果，怀疑为颌骨肿瘤。经组织病理学分析，最终诊断为外周小梁骨瘤。术后随访期间未发现肿瘤复发迹象。本报告展示了有记录以来最年轻的上颌牙槽嵴外周骨瘤病例，并强调即使在儿科患者中，在该区域类似病理变化的鉴别诊断中也需考虑这种罕见病变。八年随访中无复发的临床迹象，突出了儿童外周颌骨骨瘤的长期稳定性和良好预后。
