Rare Case of Peripheral Myxofibroma of Anterior Maxillary Gingiva: A Diagnostic Challenge.

gingival lesion maxillary anterior region myxofibroma odontogenic odontogenic tumour

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Sep 2023
Historique:
accepted: 21 09 2023
medline: 23 10 2023
pubmed: 23 10 2023
entrez: 23 10 2023
Statut: epublish

Résumé

The myxofibroma (MF) constitutes an uncommon, non-malignant, odontogenic neoplasm with potential mesenchymal derivation. The occurrence rate of this particular tumor is estimated to be around 0.05 new cases per million individuals annually. MFs exhibit a higher incidence rate within the age range of 10 to 30 years. The prevalence of these tumors is higher among the female population, with a predominant localization in the mandible, specifically in the posterior region. A female patient, 66 years old, was referred to the Department of Oral Surgery, Surgical Implantology and Radiology, Thessaloniki, Greece, complaining of a tumorous lesion in the anterior area of the maxilla and mild pain. Clinically, a solid in palpation lobulated tumor, covered by normal coloured mucosa was observed at the left upper incisor. After the excisional biopsy, the microscopic appearance of abundant fibromyxoid stroma, in particular, myxoid stroma intermingled with collagenous tissue, covered by stratified squamous epithelium, suggested the diagnosis of peripheral myxofibroma. During a 2-year follow-up, no recurrence was referred. This case illustrates the necessity of proper differential diagnosis of every tumorous lesion of the gingiva and of using the histopathological examination.

Identifiants

pubmed: 37868532
doi: 10.7759/cureus.45669
pmc: PMC10590146
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e45669

Informations de copyright

Copyright © 2023, Lillis et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Case Rep Dent. 2013;2013:345479
pubmed: 23533825
Otolaryngol Head Neck Surg. 2006 Aug;135(2):330-1
pubmed: 16890094
Int J Surg Case Rep. 2022 Jul;96:107306
pubmed: 35728373
Br J Radiol. 2010 Jan;83(985):e10-3
pubmed: 20139242
Case Rep Med. 2011;2011:238712
pubmed: 21629853
Contemp Clin Dent. 2016 Oct-Dec;7(4):558-561
pubmed: 27994429
Med Oral Patol Oral Cir Bucal. 2011 Jul 01;16(4):e532-6
pubmed: 20526263
Oral Surg Oral Med Oral Pathol. 1969 Feb;27(2):225-36
pubmed: 5249519
Clin Case Rep. 2022 Oct 17;10(10):e6474
pubmed: 36258763
J Periodontol. 1975 Aug;46(8):493-7
pubmed: 1058304
Oral Surg Oral Med Oral Pathol. 1957 Jul;10(7):690-5
pubmed: 13441285
J Dent Res Dent Clin Dent Prospects. 2009 Summer;3(3):103-5
pubmed: 23230495
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Oct;82(4):426-33
pubmed: 8899782
Oral Dis. 2003 May;9(3):152-7
pubmed: 12945597
Int J Oral Surg. 1982 Aug;11(4):265-9
pubmed: 6815118
J Periodontol. 1997 May;68(5):479-84
pubmed: 9182744
BMJ Case Rep. 2016 Oct 28;2016:
pubmed: 27793851
Head Neck Pathol. 2013 Mar;7(1):97-102
pubmed: 22837042
Int J Oral Maxillofac Surg. 2004 Jun;33(4):333-7
pubmed: 15145033
Med Oral Patol Oral Cir Bucal. 2015 Jan 01;20(1):e1-6
pubmed: 25129249

Auteurs

Theodoros Lillis (T)

Dentoalveolar Surgery, Implantology and Oral Radiology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Vasileios Zisis (V)

Oral Medicine/Pathology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Ioannis Fotopoulos (I)

Dentoalveolar Surgery, Implantology and Oral Radiology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Helena Iordanidou (H)

Oral Medicine/Pathology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Eleftherios Anagnostou (E)

Oral Medicine/Pathology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Dimitrios Andreadis (D)

Oral Medicine/Pathology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Athanasios Poulopoulos (A)

Oral Medicine/Pathology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Nikolaos Dabarakis (N)

Dentoalveolar Surgery, Implantology and Oral Radiology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Classifications MeSH