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Unusual radiographic appearance of ossifying fibroma in the left mandibular angle

Identifieur interne : 001A35 ( Pmc/Corpus ); précédent : 001A34; suivant : 001A36

Unusual radiographic appearance of ossifying fibroma in the left mandibular angle

Auteurs : M. Araki ; K. Matsumoto ; N. Matsumoto ; K. Honda ; H. Ohki ; K. Komiyama

Source :

RBID : PMC:3520244

Abstract

Ossifying fibroma is usually a unilocular lesion with a well-defined, thinly corticated margin radiographically, although various patterns have been noted. The patient was a 27-year-old woman with a painless radiolucent lesion demonstrated on panoramic radiography to involve the root-apex area of the left lower second and third molars. Radiographically, the lesion had some features of a benign tumour, such as an odontogenic myxoma. However, the deep invaginations towards the interalveolar septa suggested a simple bone cyst, whereas the irregular margin and lack of expansion or mandibular canal displacement were consistent with a malignant lesion. A hard tissue component was confirmed only by soft-tissue mode CT. Although this lesion was histopathologically diagnosed as ossifying fibroma, the conflicting imaging findings were challenging and very intriguing.


Url:
DOI: 10.1259/dmfr/81820042
PubMed: 20587656
PubMed Central: 3520244

Links to Exploration step

PMC:3520244

Le document en format XML

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<title level="j">Dentomaxillofacial Radiology</title>
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<p>Ossifying fibroma is usually a unilocular lesion with a well-defined, thinly corticated margin radiographically, although various patterns have been noted. The patient was a 27-year-old woman with a painless radiolucent lesion demonstrated on panoramic radiography to involve the root-apex area of the left lower second and third molars. Radiographically, the lesion had some features of a benign tumour, such as an odontogenic myxoma. However, the deep invaginations towards the interalveolar septa suggested a simple bone cyst, whereas the irregular margin and lack of expansion or mandibular canal displacement were consistent with a malignant lesion. A hard tissue component was confirmed only by soft-tissue mode CT. Although this lesion was histopathologically diagnosed as ossifying fibroma, the conflicting imaging findings were challenging and very intriguing.</p>
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<journal-id journal-id-type="hwp">dmfr</journal-id>
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<title-group>
<article-title>Unusual radiographic appearance of ossifying fibroma in the left mandibular angle</article-title>
<alt-title alt-title-type="running-head">Unusual mandibular OF</alt-title>
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<xref ref-type="aff" rid="aff4">4</xref>
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<name>
<surname>Matsumoto</surname>
<given-names>N</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="aff" rid="aff5">5</xref>
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<xref ref-type="aff" rid="aff4">4</xref>
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<given-names>H</given-names>
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<xref ref-type="aff" rid="aff5">5</xref>
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<given-names>K</given-names>
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<xref ref-type="aff" rid="aff4">4</xref>
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<sup>1</sup>
Department of Oral and Maxillofacial Radiology</addr-line>
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Department of First Oral and Maxillofacial Surgery</addr-line>
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Division of Immunology and Pathobiology, Dental Research Centre, Nihon University School of Dentistry, Tokyo, Japan</addr-line>
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<author-notes>
<corresp id="cor1">M Araki, Department of Oral and Maxillofacial Radiology, Nihon University School of Dentistry, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8310, Japan. E-mail:
<email>araki-m@dent.nihon-u.ac.jp</email>
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<pub-date pub-type="ppub">
<month>7</month>
<year>2010</year>
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<volume>39</volume>
<issue>5</issue>
<fpage>314</fpage>
<lpage>319</lpage>
<history>
<date date-type="received">
<day>6</day>
<month>5</month>
<year>2009</year>
</date>
<date date-type="rev-recd">
<day>15</day>
<month>7</month>
<year>2009</year>
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<date date-type="accepted">
<day>20</day>
<month>7</month>
<year>2009</year>
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<copyright-statement>© 2010 The British Institute of Radiology</copyright-statement>
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<abstract>
<p>Ossifying fibroma is usually a unilocular lesion with a well-defined, thinly corticated margin radiographically, although various patterns have been noted. The patient was a 27-year-old woman with a painless radiolucent lesion demonstrated on panoramic radiography to involve the root-apex area of the left lower second and third molars. Radiographically, the lesion had some features of a benign tumour, such as an odontogenic myxoma. However, the deep invaginations towards the interalveolar septa suggested a simple bone cyst, whereas the irregular margin and lack of expansion or mandibular canal displacement were consistent with a malignant lesion. A hard tissue component was confirmed only by soft-tissue mode CT. Although this lesion was histopathologically diagnosed as ossifying fibroma, the conflicting imaging findings were challenging and very intriguing.</p>
</abstract>
<kwd-group>
<kwd>fibroma</kwd>
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