Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Aggressive central odontogenic fibroma in the maxilla: A case report

  • Bong-Hae, Cho (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University) ;
  • Yun-Hoa, Jung (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University) ;
  • Jae-Joon, Hwang (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University)
  • Received : 2022.07.12
  • Accepted : 2022.09.21
  • Published : 2022.12.31
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Abstract

A central odontogenic fibroma is a rare benign tumor composed of mature fibrous connective tissue with variable amounts of odontogenic epithelium. It appears at similar rates in the maxilla and mandible. In the maxilla, it usually occurs anterior to the molars. Radiographically, central odontogenic fibroma commonly presents as a multilocular or unilocular radiolucency with a distinct border. This paper reports a case of an aggressive central odontogenic fibroma involving the right posterior maxilla of a 53-year-old man. Radiographs showed an extensive soft tissue mass involving the entire right maxilla with frank bone resorption. The patient had a history of 2 operations in the region, both more than 2 decades ago. Although it was impossible to confirm the previous diagnoses, it was presumed that this case was a recurrent lesion.

Keywords

Acknowledgement

This study was supported by a 2-year research grant from Pusan National University.

References

  1. Talukder S, Agarwal R, Gupta P, Santosh BS, Misra D. Central odontogenic fibroma (WHO type): a case report and review of literature. J Indian Oral Med Radiol 2011; 23: 259-62. https://doi.org/10.5005/jp-journals-10011-1142
  2. Bennabi S, Lesclous P, Cloitre A. Central odontogenic fibroma: characteristics and management. J Oral Med Oral Surg 2021; 27: 25.
  3. Roza AL, Sousa EM, Leite AA, Amaral-Silva GK, Morais TM, Wagner VP, et al. Central odontogenic fibroma: an international multicentric study of 62 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2021; 131: 549-57. https://doi.org/10.1016/j.oooo.2020.08.022
  4. Kaffe I, Buchner A. Radiologic features of central odontogenic fibroma. Oral Surg Oral Med Oral Pathol 1994; 78: 811-8. https://doi.org/10.1016/0030-4220(94)90101-5
  5. Nah KS. Central odontogenic fibroma: a case report. Imaging Sci Dent 2011; 41: 85-8. https://doi.org/10.5624/isd.2011.41.2.85
  6. Correa Pontes FS, Lacerda de Souza L, Paula de Paula L, de Melo Galvao Neto E, Silva Goncalves PF, Rebelo Pontes HA. Central odontogenic fibroma: an updated systematic review of cases reported in the literature with emphasis on recurrence influencing factors. J Craniomaxillofac Surg 2018; 46: 1753-57. https://doi.org/10.1016/j.jcms.2018.07.025
  7. Oueslati Y, Belkacem Chebil R, Oualha L, Mziou Z, Moatemri R, Sriha B, et al. Central odontogenic fibroma of simple type: an original observation. SAGE Open Med Case Rep 2021; 9: 2050313X211012494.
  8. Daskala I, Kalyvas D, Kolokoudias M, Vlachodimitropoulos D, Alexandridis C. Central odontogenic fibroma of the mandible: a case report. J Oral Sci 2009; 51: 457-61. https://doi.org/10.2334/josnusd.51.457
  9. Buchner A, Merrell PW, Carpenter WM. Relative frequency of central odontogenic tumors: a study of 1.088 cases from Northern California and comparison to studies from other parts of the world. J Oral Maxillofac Surg 2006; 64: 1343-52. https://doi.org/10.1016/j.joms.2006.05.019
  10. Hrichi R, Gargallo-Albiol J, Berini-Aytes L, Gay-Escoda C. Central odontogenic fibroma: retrospective study of 8 clinical cases. Med Oral Patol Oral Cir Bucal 2012; 17: e50-5.
  11. de Matos FR, de Moraes M, Neto AC, Miguel MC, da Silveira EJ. Central odontogenic fibroma. Ann Diagn Pathol 2011; 15: 481-4. https://doi.org/10.1016/j.anndiagpath.2010.08.006
  12. Gardner DG. Central odontogenic fibroma current concepts. J Oral Pathol Med 1996; 25: 556-61. https://doi.org/10.1111/j.1600-0714.1996.tb01731.x
  13. Sepheriadou-Mavropoulou T, Patrikiou A, Sotiriadou S. Central odontogenic fibroma. Int J Oral Surg 1985; 14: 550-5. https://doi.org/10.1016/s0300-9785(85)80064-8
  14. Svirsky JA, Abbey LM, Kaugars GE. A clinical review of central odontogenic fibroma: with the addition of three new cases. J Oral Med 1986; 41: 51-4.
  15. Handlers JP, Abrams AM, Melrose RJ, Danforth R. Central odontogenic fibroma: clinicopathologic features of 19 cases and review of the literature. J Oral Maxillofac Surg 1991; 49; 46-54.
  16. Sachdeva SK, Verma P, Verma D, Verma KG. Recurrent central odontogenic fibroma: an uncommon clinical presentation. Saudi Surg J 2014; 2: 22-5. https://doi.org/10.4103/2320-3846.132900
  17. Kinney LA, Bradford J, Cohen M, Glickman RS. The aggressive odontogenic fibroma: report of a case. J Oral Maxillofac Surg 1993; 51: 321-4. https://doi.org/10.1016/S0278-2391(10)80185-5
  18. Heimdal A, Isacsson G, Nilsson L. Recurrent central odontogenic fibroma. Oral Surg Oral Med Oral Pathol 1980; 50: 140-5. https://doi.org/10.1016/0030-4220(80)90201-7