TY - JOUR
T1 - Nonossifying fibroma (metaphyseal fibrous defect) of the mandible in a 15-year-old boy
AU - Rifat Mannan, Abul Ala Syed
AU - Singh, N. Gopendro
AU - Al-Waheeb, Salah
AU - Taher, Taher N.M.
AU - Mohammed, Emad El Din A.M.
N1 - Publisher Copyright:
© 2015 Vendome Group.
PY - 2015/6
Y1 - 2015/6
N2 - We describe a rare case of nonossifying fibroma of the mandible in a 15-year-old boy who presented with a left mandibular swelling. Conventional imaging showed an expansile radiolucent lesion involving the angle and the body of the left mandible. The lesion was curetted, and a miniplate was implanted at the excision site. Microscopic examination of the removed specimen revealed a cellular lesion characterized by a proliferation of uniform spindle-shaped cells in a vague but prominent storiform pattern, which represented the classic appearance of nonossifying fibroma. Three months later, radiography detected a fracture of the implantation plate. The area was re-explored with curettage of the soft tissue, which on microscopy demonstrated findings similar to the initial curettage findings. Follow-up radiology revealed satisfactory healing of the jaw, and no further recurrence was seen 2 years after the initial surgery. We present this case to highlight the importance of recognizing nonossifying fibroma in the mandible, which can be easily confused with more common mandibular lesions.
AB - We describe a rare case of nonossifying fibroma of the mandible in a 15-year-old boy who presented with a left mandibular swelling. Conventional imaging showed an expansile radiolucent lesion involving the angle and the body of the left mandible. The lesion was curetted, and a miniplate was implanted at the excision site. Microscopic examination of the removed specimen revealed a cellular lesion characterized by a proliferation of uniform spindle-shaped cells in a vague but prominent storiform pattern, which represented the classic appearance of nonossifying fibroma. Three months later, radiography detected a fracture of the implantation plate. The area was re-explored with curettage of the soft tissue, which on microscopy demonstrated findings similar to the initial curettage findings. Follow-up radiology revealed satisfactory healing of the jaw, and no further recurrence was seen 2 years after the initial surgery. We present this case to highlight the importance of recognizing nonossifying fibroma in the mandible, which can be easily confused with more common mandibular lesions.
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U2 - 10.1177/014556131509400620
DO - 10.1177/014556131509400620
M3 - Article
C2 - 26053991
AN - SCOPUS:84949267239
SN - 0145-5613
VL - 94
SP - E41
JO - Ear, Nose and Throat Journal
JF - Ear, Nose and Throat Journal
IS - 6
M1 - E30
ER -