Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered.

Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered.
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DOI:
10.1016/j.rboe.2015.12.002
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发表时间:
2016-01
影响因子:
--
通讯作者:
Manzi FR
Manzi FR
中科院分区:
其他
文献类型:
--
作者:
da Silveira DT;Cardoso FO;E Silva BJ;E Alves Cardoso CA;Manzi FR

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目的是报告一例骨化纤维瘤,由良性纤维-骨性病变组成,其特征是纤维细胞组织、骨、水泥或两者的结合生长和增殖缓慢。一名29岁的男性患者在遭遇车祸后被送往医院。在临床检查中,观察到下颌骨右侧区域体积增加,并怀疑面部中部三分之一骨折。断层检查显示图像提示左侧颧复合体骨折,无移位,下颌骨有清晰的不透射线图像。患者被送往医院,在那里进行了全景x线摄影、面部后前方x线摄影和远程x线摄影,以便更好地记录病例。行切口活检。组织病理学检查显示良性骨病变提示骨化纤维瘤。手术是为了完全切除病变,用重建钢板固定。新的解剖病理检查证实了这一诊断。
The aim was to report on a case of ossifying fibroma, consisting of a benign fibro-osseous lesion characterized by slow growth and proliferation of fibrous cellular tissue, bone, cement or a combination. A 29-year-old male patient was attended at a hospital, after he had suffered a car accident. During the clinical examination, increased volume in the region of the right side of the mandible was observed, and a fracture in the middle third of the face was suspected. The tomographic examination showed an image suggestive of fracturing of the left-side zygomatic complex, without displacement, and with a well-delimited radiopaque image of the mandible. The patient was sent to a hospital where panoramic radiography, posteroanterior radiography of the face and teleradiography were performed in order to better document the case. An incisional biopsy was performed. Histopathological examination showed the presence of a benign bone lesion suggestive of ossifying fibroma. Surgery was performed in order to completely remove the lesion, with fixation using a reconstruction plate. A new anatomopathological examination confirmed the diagnosis.