1 research outputs found
Fibroma cemento-osificante gingival mandibular: presentaci贸n de un caso
Presentamos el caso cl铆nico de una mujer con un fibroma cemento-
osificante gigante dependiente de la enc铆a mandibular
de 20 a帽os de evoluci贸n. El fibroma cemento-osificante es un
tumor poco frecuente, clasificado dentro de las lesiones
fibro贸seas. Aparece generalmente en hueso y en raras ocasiones
afecta a tejidos gingivales, como ocurre en nuestro caso. Es
una neoplasia de crecimiento lento y bien delimitada, lo que le
confiere un car谩cter benigno. Con los hallazgos histol贸gicos es
dif铆cil diferenciar el fibroma cemento-osificante de otras lesiones
tales como el osteoblastoma, el osteosarcoma de bajo grado
y particularmente de la displasia fibrosa. Para obtener un
diagn贸stico preciso es fundamental guiarnos adem谩s por la informaci贸n
cl铆nica y radiol贸gica y as铆 llevar a cabo un tratamiento
oportuno, que condicione un pron贸stico excelente.We report a case of a woman presenting a giant cementoossifying
fibroma depending of the mandibular gingivae. The
evolution of the process was 20 years. Cemento-ossifying
fibroma is a relatively rare tumour classified between fibroosseous
lesions. This lesion appears within the bone although
in some occasions it involves the gingivae soft tissues, as the
case we present. It is a slow-growing and well-defined tumorous
lesion, because of this, it is considered as a benign lesion. The
histologic findings alone may be similar to other pathologies
such as osteoblastoma, low-grade osteosarcoma and particularly
to fibrous dysplasia. An accurate diagnosis requires careful
clinical, radiological and histological correlation in order to
make an optimal treatment and an excellent outcome