Odontogenic Fibromyxoma of Maxilla: a Rare Case with Intriguing Pathology
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CLINICAL REPORT
Odontogenic Fibromyxoma of Maxilla: a Rare Case with Intriguing Pathology Sandeep Trehan1 Kirti Khandelwal1
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Shweta Jaitly1 • Himani Lade1 • Sabarirajan Ponnusamy1
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Received: 14 August 2020 / Accepted: 28 September 2020 Ó Association of Otolaryngologists of India 2020
Heading Fibromyxoma Maxilla Odontogenic tumors
the Fibromyxoma is a rare entity. Fibromyxoma is a benign, unencapsulated locally invasive tumor with varying densities of fibrous connective tissue [1, 2]. It grows rarely in the head and neck in the order of posterior mandible, anterior mandible, and maxilla with the increasing order of aggressiveness [3]. The tumor most frequently arises in the second to fourth decades of life and is seen more in females than males [4, 5]. It is of mesenchymal origin with varying amounts of myxoid stroma and collagen. It presents radiologically with varying translucency and the tumor has a recurring tendency after the treatment [5].
Introduction
Case Report
The benign odontogenic tumors of maxilla and mandible arise from the odontogenic epithelium and odontogenic ectomesenchyme, either exclusively or in combination; the most common tumor among those being Ameloblastoma,
A 30 year old lady, reported to our department with a swelling in her oral cavity, over the hard palate for the past 1 year. The swelling was slowly progressive initially; there was a history of sudden increase in the size of the swelling followed by an episode of bleeding 1 month back. There was a history of extraction of right upper second molar tooth and application of dental braces 1 year back. The patient also complained of associated change in voice and difficulty in swallowing. However, there was no history of loss of weight, loss of appetite, or difficulty in breathing. The swelling was of 5 9 5 cm in size, extending from Right gingivobuccal sulcus to 1 cm medial to Left alveolar margin, anteroposteriorly from the level of Right canine tooth to 5 cm posteriorly, obscuring the soft palate and posterior pharyngeal wall (Fig. 1). The swelling had no local rise in temperature, non-tender, soft to firm in consistency, not pulsatile, not reducible, or compressible.
Abstract Fibromyxoma is a rare benign odontogenic tumor of mesenchymal origin which has a potential for a highly aggressive turnout. We present the case of a 30 year old lady who came with a slow-growing swelling in the oral cavity, which turned out to be a fibromyxoma in an unusual location—maxilla. The lesion was excised completely without any bony or soft tissue remnant and the histopathological examination confirmed the diagnosis. The rest of the course was uneventful and the patient is in follow up without any recurrence.
& Sandeep Trehan [email protected] Shweta Jaitly [email protected] Himani Lade [email protected] Sabarirajan Ponnusamy [email protected] Kirti Khandelwal [email protected] 1
Department of Otorhinolaryngology and Head and Neck Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, N
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