By Medifit Biologicals

 

DESMOPLASTIC FIBROMA

 

DESMOPLASTIC FIBROMA DEFINITION

 

These are benign neoplasms arising from the mesenchymal tissue of the jawbone but are not necessarily related to the teeth

 

DESMOPLASTIC FIBROMA CLINICAL FEATURE:

 

  • Age: First, second and third decade of life. Older patients are rarely affected.
  • Sex: Both sexes are equally affected

 

DESMOPLASTIC FIBROMA CLINICAL PRESENTATION:

  • These intraosseous fibromas are generally asymptomatic neoplasms, however some lesions may produce painless swelling in the jaw.
  • Lesions are non-tendered on palpation and moreover percussion of the regional teeth also does not elicit any tenderness
  • Long standing lesions may cause expansion or perforation of the cortical palates of jaw bone.

 

DESMOPLASTIC FIBROMA RADIOGRAPHIC FEATURES:

  • Radiographically desmoplastic fibromas reveal unilocular or multilocular, well-defined, radiolucent areas in the bone.
  • Expansion, thinning and even perforation of the cortical palates may be seen in some cases

 

DESMOPLASTIC FIBROMA DIFFERENTIAL DIAGNOSIS:

  • Ameloblastoma
  • Central giant cell granuloma
  • Myxoma
  • Central ossifying fibroma.

 

DESMOPLASTIC FIBROMA HISTOPATHOLOGICAL FEATURES:

  • The neoplasm consist of numerous profile- rating young fibroblasts, which are arranged in a whorled pattern
  • The neoplastic cell produce varying amounts of collagen fiber in the tumor.
  • The collagen fibers are usually thin and delicate with fasciculation, often these collagen bundles produce a ‘herring-bone’ or ‘chevron’ or ‘storiform’ configuration.

 

DESMOPLASTIC FIBROMA TREATMENT:

Radical surgery is not indicated for the treatment of desmoplastic fibromas. Local excision and curettage can be enough.

 

By Medifit Biologicals

www.medifitbiologicals.com