Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Periosteal reaction as a crucial radiographic finding for desmoplastic fibroma of the jaw bone in children: A case report

  • Motevasseli, Safa (Department of Maxillofacial Surgery, Dental Sciences Research Center, Guilan University of Medical Sciences) ;
  • Yousefi, Zahra (Department of Dentomaxillofacial Radiology, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences) ;
  • Kajan, Zahra Dalili (Department of Dentomaxillofacial Radiology, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences) ;
  • Modanlou, Reza (Department of Maxillofacial Surgery, Dental Sciences Research Center, Guilan University of Medical Sciences) ;
  • Roudbari, Niousha (Department of Dentomaxillofacial Radiology, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences)
  • Received : 2022.01.21
  • Accepted : 2022.04.14
  • Published : 2022.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

This report presents the case of a 5-year-old boy with a hard swelling on the right side of the mandible body. An important point of this case is that the primary imaging finding was fine spicules in the inferior border of the mandible on panoramic radiography without significant changes in bone density. Cone-beam computed tomography views revealed a lytic lesion on the lingual side of the right mandibular body with the destruction of the lingual cortex and periosteal reaction from the midline to the first molar area. Careful attention to this radiographic finding in the primary stage in the absence of other significant imaging findings, particularly in children, could result in the early diagnosis of desmoplastic fibroma. Therefore, a better prognosis can be expected following early surgical treatment.

Keywords

References

  1. Rajendra Santosh AB, Ogle OE. Odontogenic tumors. Dent Clin North Am 2020; 64: 121-38. https://doi.org/10.1016/j.cden.2019.08.008
  2. Chaturvedi TP, Gupta K, Agrawal R, Naveen Kumar PG, Gupta J. Immunohistochemical expression of Ki-67 and Glypican-3 to distinguish aggressive from nonaggressive benign odontogenic tumors. J Can Res Ther(in press).
  3. Konikoth S, Bose T, Anupama I, Yogidas R. Desmoplastic fibroma of the mandible - a rare benign tumor mimicking malignancy. J Indian Acad Oral Med Radiol 2019; 31: 74-8. https://doi.org/10.4103/jiaomr.jiaomr_213_18
  4. Kahraman D, Karakoyunlu B, Karagece U, Ertas U, Gunhan O. Desmoplastic fibroma of the jaw bones: a series of twenty-two cases. J Bone Oncol 2020; 26: 100333.
  5. Mallya SM, Lam EW. White and Pharoah's oral radiology: principles and interpretation. 8th ed. St. Louis: Elsevier; 2019. p. 451-2.
  6. Titidej A, Jolehar M. Rare desmoplastic fibroma in ramus and mandibular angle: presentation of a case report with review of literature. Acta Med Iran 2019; 57: 456-60.
  7. Elmonofy O, ElMinshawi A, Abdelsalam S, Mubarak FA. Desmoplastic fibroma of the jaws: case report. Adv Oral Maxillofac Surg 2021; 4: 100162. https://doi.org/10.1016/j.adoms.2021.100162
  8. Mohammadi F, Shirani G, Derakhshan S, Faghihi T. Desmoplastic fibroma of the lower jaw in a 2-year-old patient; report of a rare case. Dent Res J(Isfahan) 2020; 17: 231-4. https://doi.org/10.4103/1735-3327.284725
  9. Woods TR, Cohen DM, Islam MN, Rawal Y, Bhattacharyya I. Desmoplastic fibroma of the mandible: a series of three cases and review of literature. Head Neck Pathol 2015; 9: 196-204. https://doi.org/10.1007/s12105-014-0561-5
  10. Skinner HR, Vargas A, Solar A, Foncea C, Astorga P. Desmoplastic fibroma of the mandible in a pediatric patient: a case report of resection and reconstruction with a six-year follow-up. J Oral Maxillofac Surg 2017; 75: 1568.e1-10. https://doi.org/10.1016/S0278-2391(17)30595-5
  11. Dalili-Kajan Z, Adham-Fumari G, Dalili-Kajan H. Desmoplastic fibroma with periosteal reaction. Acta Med Iran 2007; 45: 325-8.
  12. Talla HV, Alaparthi RK, Yelamanchili S, Naik PC. Desmoplastic fibroma of the mandible: a rare case report. J Indian Acad Oral Med Radiol 2014; 26: 222-4. https://doi.org/10.4103/0972-1363.143711
  13. Cardoso LB, Lopes IA, Ikuta CR, Capelozza AL. Study between panoramic radiography and cone beam-computed tomography in the diagnosis of ameloblastoma, odontogenic keratocyst, and dentigerous cyst. J Craniofac Surg 2020; 31: 1747-52. https://doi.org/10.1097/SCS.0000000000006538
  14. Jain S, Choudhary K, Nagi R, Shukla S, Kaur N, Grover D. New evolution of cone-beam computed tomography in dentistry: combining digital technologies. Imaging Sci Dent 2019; 49: 179-90. https://doi.org/10.5624/isd.2019.49.3.179
  15. Khatib B, Pogrel MA. Desmoplastic fibroma of the mandible in young children - a case series. Int J Oral Maxillofac Surg 2017; 46: 173-80. https://doi.org/10.1016/j.ijom.2016.09.018
  16. Said-Al-Naief N, Fernandes R, Louis P, Bell W, Siegal GP. Desmoplastic fibroma of the jaw: a case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 82-94. https://doi.org/10.1016/j.tripleo.2005.03.034
  17. Shi H, Wang P, Wang S, Yu Q. Desmoplastic fibroma of the mandible. Dentomaxillofac Radiol 2008; 37: 408-11. https://doi.org/10.1259/dmfr/86899184
  18. Sharp T, Wang J, Li X, Cao H, Gao S, Moreno M, et al. A pituitary homeobox 2 (Pitx2): microRNA-200a-3p: β-catenin pathway converts mesenchymal cells to amelogenin-expressing dental epithelial cells. J Biol Chem 2014; 289: 27327-41. https://doi.org/10.1074/jbc.M114.575654
  19. Ng TL, Gown AM, Barry TS, Cheang MC, Chan AK, Turbin DA, et al. Nuclear beta-catenin in mesenchymal tumors. Mod Pathol 2005; 18: 68-74. https://doi.org/10.1038/modpathol.3800272
  20. Montgomery E, Folpe AL. The diagnostic value of β-catenin immunohistochemistry. Adv Anat Pathol 2005; 12: 350-6. https://doi.org/10.1097/01.pap.0000194628.58501.71
  21. Valenta T, Hausmann G, Basler K. The many faces and functions of β-catenin. EMBO J 2012; 31: 2714-36. https://doi.org/10.1038/emboj.2012.150
  22. Hauben EI, Jundt G, Cleton-Jansen AM, Yavas A, Kroon HM, Van Marck E, et al. Desmoplastic fibroma of bone: an immunohistochemical study including β-catenin expression and mutational analysis for β-catenin. Hum Pathol 2005; 36: 1025-30. https://doi.org/10.1016/j.humpath.2005.07.004
  23. Azola AM, Wartmann CT, Fischer MK, Ambro BT, Pereira KD. Desmoplastic fibroma arising from the anterior maxillary sinus in a child. Arch Otolaryngol Head Neck Surg 2012; 138: 859-62. https://doi.org/10.1001/archoto.2012.1661
  24. Taher LY, Saleem M, Velagapudi S, Dadado A. Fibromatosis arising in association with neuromuscular hamartoma of the mandible. Head Neck Pathol 2013; 7: 280-4. https://doi.org/10.1007/s12105-012-0418-8
  25. Gondak RO, Correa MB, da Costa MV, Vargas PA, Lopes MA. Maxillary desmoplastic fibroma with initial symptoms suggestive of sinusitis. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 116: e510-3. https://doi.org/10.1016/j.oooo.2013.03.016
  26. Shahzad F. Pediatric mandible reconstruction: controversies and considerations. Plast Reconstr Surg Glob Open 2020; 8: e3285. https://doi.org/10.1097/GOX.0000000000003285
  27. Costa BE, Duarte GL, Bueno CR, Momesso NR, Babadopulos CN, Ribeiro Junior PD. The mandibular rehabilitation multidisciplinary after mandibulectomy. Res Soc Dev 2022; 11: e8711225550. https://doi.org/10.33448/rsd-v11i2.25550