Cemento-Ossifying Fibroma in the Mandibular Posterior Region: 2 Case Reports

Yıl 2024, Cilt: 2 Sayı: 1, 26 - 29, 30.04.2024

Merve Hacer Duran Mehmet Buğra Türkcan Sümeyye Coşgun Baybars Mustafa Çağdaş Öçal

https://doi.org/10.62243/edr.1326730

Öz

Aim Cemento-ossifying fibroma (COF) is a mesenchymal, benign odontogenic tumor of the jaws that originates from the mesenchymal blast cells of periodontal ligament and can form osteoid, bone, cement-like tissue, fibrous cellular tissue or a combination of them. In this case report, it is aimed to present clinical, radiological and histopathological examination of two cemento-ossifying fibroma cases.
Case Report A 36-year-old systemically healthy female patient was referred to our faculty due to a lesion detected in the right mandibular posterior region. As a result of the clinical and radiological examination, an asymptomatic tumoral structure with a mixed appearance and regular borders was detected. No expansion was detected in the right mandibular posterior region. The patient was referred to the Department of Oral and Maxillofacial Surgery for biopsy. According to the biopsy report, it was learned that this tumoral structure was a COF. A 38-year-old systemically healthy female patient was admitted to our faculty due to gingival bleeding. As a result of the clinical and radiological examination, an asymptomatic lesion with a radiolucent appearance and sclerotic borders was detected in the right mandibular posterior region. According to the patient’s biopsy report, it was discovered that this lesion was a COF.
Discussion COF may exhibit different clinical and radiological behaviors based on its stage. Diagnosis and treatment planning of COF should be made with clinical, radiological and histopathological examination.
Conclusion Two COF cases are reported with their detailed clinical and radiological examinations in this paper.

Anahtar Kelimeler

Benign, CBCT, Cemento-ossifying fibroma, Mandible, Odontogenic tumor

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

• Akkitap M, Gumru B, Idman E, Erdem N, Gumuşer Z, Aksakalli F. Cemento-Ossifying Fibroma: Clinical, Radiological, and Histopathological Findings. Clinical and Experimental Health Sciences. 2020;10(4):468- 472.
• Pindborg JJ, Kramer IRH. Histological typing of odontogenic tumours, jaw cysts and allied lesions. International histological classification of tumours. Geneva: WHO;1971. p.31-34.
• Kramer IR, Pindborg JJ, Shear M. The World Health Organization histological typing of odontogenic tumours; introducing the second edition. Eur J Cancer B Oral Oncol. 1993;29:169-171.
• El-Mofty SK, Nelson B, Toyosawa S. Ossifying fibroma. El- Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ, editors. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: IARC Press; 2017. p. 251-252.
• Naik RM, Guruprasad Y, Sujatha D, Gurudath S, Pai A, Suresh K. Giant cemento-ossifying fibroma of the mandible. J Nat Sci Biol Med. 2014;5(1):190-4.
• Bala TK, Soni S, Dayal P, Ghosh I. Cemento-ossifying fibroma of the mandible a clinicopathological report. Saudi Med J 2017;38:541-545.
• Silvestre-Rangil J, Silvestre FJ, Requeni-Bernal J. Cemento-ossifying fibroma of the mandible: Presentation of a case and review of the literature. J Clin Exp Dent. 2011;3(1):66-9.
• Wanzeler AMV, Rohden D, Arús NA, Silveira HLD, Hildebrand LC. Central cemento-ossifying fibroma: clinical-imaging and histopathological diagnosis. Int J Odontostomat 2018;12:233-236.
• Reddy R, Sarkar P, Manuel RA, Saxena D, Hoisala VR. Cementoossifying fibroma: A case report. IJSS Case Reports and Reviews 2016;3:13-15.
• Neville BW, Damm DD, Allen CMA, Chi AC. Oral and Maxillofacial Pathology. 4th ed. St. Louis, Missouri: Elsevier; 2016.
• Mithra R, Baskaran P, Sathyakumar M. Imaging in the diagnosis of cemento-ossifying fibroma: A case series. J Clin Imaging Sci 2012;2:52.
• Rani A, Kalra N, Poswal R, Sharma S. Cemento ossifying fibroma: Report of a case and emphasis on its diagnosis. Indian J Multidiscip Dent 2017;7:140-143.
• Swami A, Kale L, Mishra S, Choudhary S. Central ossifying fibroma of mandible: A case report and review of literature. J Indian Acad Oral Med Radiol 2015;27:131-135.
• Dalghous A, Alkhabuli JO. Cemento-ossifying fibroma occurring in an elderly patient: A case report and a review of literature. Libyan J Med 2007;2:95-98.
• Kharsan V, Madan RS, Rathod P, Balani A, Tiwari S, Sharma S. Large ossifying fibroma of jaw bone: a rare case report. Pan Afr Med J 2018;30:306.
• Pandey V, Sharma A, Sudarshan V. Cemento-ossifying fibroma – a rare case report with review of literature. IJCMR 2016;3:2681-2682.
• Sridevi U, Jain A, Turagam N, Prasad MD. Cemento-ossifying fibroma: A case report. Adv Cancer Prev 2016;1:111.
• Peravali RK, Bhat HH, Reddy S. Maxillo-Mandibular Cemento-ossifying fibroma: A rare case report. J Maxillofac Oral Surg 2015;14:300-307.
• Ram R, Singhal A, Singhal P. Cemento-ossifying fibroma. Contemporary Clinical Dentistry. 2012;3(1):83–85.
• Kaur T, Dhawan A, Bhullar RS, Gupta S. Cemento-ossifying fibroma in maxillofacial region: a series of 16 cases. J Maxillofac Oral Surg. 2021;20:240–245.
• Waldron CA, Giansanti JS. Benign fibro-osseous lesions of the jaws: a clinical-radiologic-histologic review of sixty-five cases. Oral Surg. 1973;35:340–350.
• Titinchi F, Morkel J. Ossifying fibroma: analysis of treatment methods and recurrence patterns. J Oral Maxillofac Surg 2016;74(12):2409-19.
• Barberi A, Cappabianca S, Collela G (2003) Bilateral cementossifying fibroma of the maxillary sinus. Br J Radiol 2003;76:279–280.
• Trijolet JP, Parmentier J, Sury F, Goga D, Mejean N, Laure B, et al. Cemento-ossifying fibroma of the mandible. Eur Ann Otorhinolaryngol Head Neck Dis. 2011;128:30–3.