Palve Devendra H, Dhobley Akshay A, Ghatage Dipak D, Kendre Ashwini G
Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Nagpur, Maharashtra, India.
J Oral Maxillofac Pathol. 2024 Oct-Dec;28(4):672-676. doi: 10.4103/jomfp.jomfp_37_24. Epub 2024 Dec 31.
Osteochondroma (OC) is the most common benign tumour of the axial skeleton which often occurs from the metaphysis of the long bones but rarely occurs in the craniofacial region (<1% of cases). Literature shows that cases occur more in the mandibular condylar region. To date, only six cases of this incredibly rare OC in the mandibular front region have been documented in the last 30 years. In addition to reviewing the literature on OCs of the mandibular front region, this case report describes a case of OC involving the mandibular symphysis and left para-symphysis in a 67-year-old male patient. Histopathological examination revealed chondroid and osteoid tissue with sparse fibrous tissue patches and columns of chondrocytes with single tiny nuclei within the cartilaginous cap, and all these features were strongly suggestive of OC diagnosis.
骨软骨瘤(OC)是中轴骨骼最常见的良性肿瘤,常发生于长骨的干骺端,但很少发生在颅面部区域(<1%的病例)。文献表明,病例更多发生在下颌髁突区域。迄今为止,在过去30年中仅记录了6例下颌前部区域这种极其罕见的骨软骨瘤病例。除了回顾有关下颌前部区域骨软骨瘤的文献外,本病例报告还描述了一例67岁男性患者发生在下颌联合和左侧旁联合处的骨软骨瘤病例。组织病理学检查显示软骨样和骨样组织,伴有稀疏的纤维组织斑块,软骨帽内有单核小软骨细胞柱,所有这些特征都强烈提示骨软骨瘤的诊断。