Infantile fibromatosis of the mandible

This paper reports a case of infantile fibromatosis occurring at the alveolar portion of the mandible. Imaging findings were analyzed in detail. The patient was a 7-year-old girl, complaining of a painless swelling of the gingiva at the molar region of the left mandible, which had been noticed two d...

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Published inShika Hoshasen Vol. 41; no. 1; pp. 45 - 51
Main Authors HAYASHI, Takafumi, ITO, Jusuke, TAKAGI, Ritsuo, SAKU, Takashi, SSHUZO, Taira, NOBUYUKI, Imai, KOBAYASHI, Fukiko, HINOKI, Ayumi
Format Journal Article
LanguageJapanese
Published Japanese Society for Oral and Maxillofacial Radiology 2001
特定非営利活動法人 日本歯科放射線学会
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ISSN0389-9705
2185-6311
DOI10.11242/dentalradiology1960.41.45

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Abstract This paper reports a case of infantile fibromatosis occurring at the alveolar portion of the mandible. Imaging findings were analyzed in detail. The patient was a 7-year-old girl, complaining of a painless swelling of the gingiva at the molar region of the left mandible, which had been noticed two days before the first consultation. There was an elastic hard mass at the first molar to retromolar region. CT scans revealed a soft tissue mass protruding from the alveolar crest and invading the mandible. The mass showed more intense enhancement than the muscle and the peripheral portion of the mass was more enhancement than the central portion of the mass, including a tooth in it after contrast infusion. The alveolar bone was destroyed from the crest to the region below the apex of the first molar. The margin of the lesion was irregular. There were lacerations of the lingual cortex that bulged slightly. A malignant tumor with low malignancy was diagnosed based on imaging findings. Histological diagnosis was infantile fibromatosis. The lesion was supposed to have originated from the soft tissue at or around the alveolar crest.
AbstractList This paper reports a case of infantile fibromatosis occurring at the alveolar portion of the mandible. Imaging findings were analyzed in detail.The patient was a 7-year-old girl, complaining of a painless swelling of the gingiva at the molar region of the left mandible, which had been noticed two days before the first consultation. There was an elastic hard mass at the first molar to retromolar region. CT scans revealed a soft tissue mass protruding from the alveolar crest and invading the mandible. The mass showed more intense enhancement than the muscle and the peripheral portion of the mass was more enhancement than the central portion of the mass, including a tooth in it after contrast infusion.The alveolar bone was destroyed from the crest to the region below the apex of the first molar. The margin of the lesion was irregular. There were lacerations of the lingual cortex that bulged slightly. A malignant tumor with low malignancy was diagnosed based on imaging findings. Histological diagnosis was infantile fibromatosis. The lesion was supposed to have originated from the soft tissue at or around the alveolar crest.
Author SAKU, Takashi
HINOKI, Ayumi
NOBUYUKI, Imai
ITO, Jusuke
TAKAGI, Ritsuo
KOBAYASHI, Fukiko
SSHUZO, Taira
HAYASHI, Takafumi
Author_FL 林 孝文
朔 敬
伊藤 寿介
平 周三
高木 律男
今井 信行
檜木 あゆみ
小林 富貴子
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特定非営利活動法人 日本歯科放射線学会
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References 17. Melrose RJ, Abrams AM. Juvenile fibromatosis affecting the jaws: report of three cases. Oral Surg Oral Med Oral Pathol. 1980; 499: 317-324.
18. 木野孔司, 天笠光雄, 佐藤建夫, 川口哲司, 石井純一, 中村一彦, 塩田重利, 岡田憲彦. 幼児顎下部に発生した侵襲性線維腫症の1例. 日本口外誌. 1985; 31: 1163-1169.
5. Stout AP. Fibrosarcoma in infants and children. Cancer. 1962; 15: 1028-1040.
1. Enzinger FM, Weiss SW. Soft tissue tumors. 3rd ed. St. Louis: Mosby- Year Book, Inc; 1995: 201, 210-211, 231, 251-256.
24. Bohm P, Krober S, Greschniok A, Laniado M, Kaiserling E. Desmoplastic fibroma of the bone. cancer. 1996; 78: 1011-1023.
23. Freedman PD, Cardo VA, Kerpel SM, Lumerman H. Desmoplastic fibroma (fibromatosis) of the jawbones: report of a case and review of the literature. Oral surg. 1978; 46: 386-395.
11. Zachariades N, Papanicolaou S. Juvenile fibromatosis. J Cranio Max Fac Surg. 1988; 16: 130-135.
16. Henefer EP, Bishop HC, Brown A. Juvenile fibromatosis with invasion of the mandible: report of two cases. J Oral Surg. 1978; 36: 965-970.
10. Petri WH. Aggressive fibromatosis of the mandible. J Oral Maxillofac Surg. 1982; 40: 663-667.
3. Shuman R, Anderson WAD. Mesenchymal tumors of soft tissues. In: Anderson WAD, Kissane JM, ed. Pathology: 7th ed. St. Louis: Mosby; 1977: 1874-1875, 1880-1883.
2. Fowler CB, Hartman KS, Brannon RB. Fibromatosis of the oral and paraoral region. Oral Surg Oral Med Oral Pathol. 1994; 77: 373-386.
27. Crim JR, Gold RH, Mirra JM, Eckardt JJ, Bassett LW. Desmoplastic fibroma of bone: radiographic analysis. Radiology. 1989; 172: 827-832.
20. Hoffman CD, Levant BA, Hall RK. Aggressive infantile fibromatosis: report of a case undergoing spontaneous regression. J Oral Maxillofac Surg. 1993; 51: 1043-1047.
6. Allen PW. The fibromatoses: a clinicopathologic classification based on 140 cases, Part 1. Am J Surg Pathol. 1977; 1: 255-270.
21. T Kurabayashi, M Ida, H Yoshimasu, N Yoshino, T Sasaki. Computed tomography in the diagnosis of maxillofacial mass lesions in younger children. Dento Maxillo Facial Radiology. 1998; 27: 334-340.
26. Hopkins KM, Huttula CS, Kahn MA, Albright JE. Desmoplastic fibroma of the mandible: review and report of two cases. J Oral Maxillofac Surg. 1996; 54: 1249-1254.
12. Vally IM, Altini M. Fibromatosis of the oral and paraoral soft tissues and jaws. Oral Surg Oral Med Oral Pathol. 1990; 69: 191-198.
9. Larsson A, Bjorlin G. Aggressive fibrous lesions of the oral cavity. J Oral Pathol. 1976; 5: 241-251.
8. Wilkins SA, Waldron CA, Mathews WH, Droulias CA. Aggressive fibromatosis of the head and neck. Am J Surg. 1975; 130: 412-415.
15. Peede LF, Epker BN. Aggressive juvenile fibromatosis involving the mandible: surgical excision with immediate reconstruction. Oral Surg Oral Med Oral Pathol. 1977; 43 651-657.
19. Carr RJ, Zaki GA, Leader MB, Langdon JD. Infantile fibromatosis with involvement of the mandible. Br J Oral Maxillofac Surg. 1992; 30: 257-262.
14. Shapiro W, Goffin FB. Fibromatosis: a case involving the mandible. Laryngoscope. 1968; 78: 78-88.
13. Connolly NK. Juvenile fibromatosis: a case report showing invasion of the bone. Arch Disease Child. 1961; 36: 171-175.
25. Dorfman HD, Czerniak B. Bone Tumors. St. Louis: Mosby, Inc; 1998: 514, 521-53.
22. 小野富昭, 白石豊彦, 伊藤秀夫. 下顎骨に発生した類腱線維腫 (desmoplastic fibroma) の2例. 口科誌. 1980; 26: 1322-1327.
7. Allen PW. The fibromatoses: a clinicopathologic classification based on 140 cases, Part 2. Am J Surg Pathol. 1977; 1: 305-321.
4. Stout AP. Juvenile fibromatoses. Cancer. 1954; 7: 953-978.
References_xml – reference: 21. T Kurabayashi, M Ida, H Yoshimasu, N Yoshino, T Sasaki. Computed tomography in the diagnosis of maxillofacial mass lesions in younger children. Dento Maxillo Facial Radiology. 1998; 27: 334-340.
– reference: 6. Allen PW. The fibromatoses: a clinicopathologic classification based on 140 cases, Part 1. Am J Surg Pathol. 1977; 1: 255-270.
– reference: 17. Melrose RJ, Abrams AM. Juvenile fibromatosis affecting the jaws: report of three cases. Oral Surg Oral Med Oral Pathol. 1980; 499: 317-324.
– reference: 18. 木野孔司, 天笠光雄, 佐藤建夫, 川口哲司, 石井純一, 中村一彦, 塩田重利, 岡田憲彦. 幼児顎下部に発生した侵襲性線維腫症の1例. 日本口外誌. 1985; 31: 1163-1169.
– reference: 12. Vally IM, Altini M. Fibromatosis of the oral and paraoral soft tissues and jaws. Oral Surg Oral Med Oral Pathol. 1990; 69: 191-198.
– reference: 2. Fowler CB, Hartman KS, Brannon RB. Fibromatosis of the oral and paraoral region. Oral Surg Oral Med Oral Pathol. 1994; 77: 373-386.
– reference: 16. Henefer EP, Bishop HC, Brown A. Juvenile fibromatosis with invasion of the mandible: report of two cases. J Oral Surg. 1978; 36: 965-970.
– reference: 26. Hopkins KM, Huttula CS, Kahn MA, Albright JE. Desmoplastic fibroma of the mandible: review and report of two cases. J Oral Maxillofac Surg. 1996; 54: 1249-1254.
– reference: 11. Zachariades N, Papanicolaou S. Juvenile fibromatosis. J Cranio Max Fac Surg. 1988; 16: 130-135.
– reference: 5. Stout AP. Fibrosarcoma in infants and children. Cancer. 1962; 15: 1028-1040.
– reference: 23. Freedman PD, Cardo VA, Kerpel SM, Lumerman H. Desmoplastic fibroma (fibromatosis) of the jawbones: report of a case and review of the literature. Oral surg. 1978; 46: 386-395.
– reference: 10. Petri WH. Aggressive fibromatosis of the mandible. J Oral Maxillofac Surg. 1982; 40: 663-667.
– reference: 8. Wilkins SA, Waldron CA, Mathews WH, Droulias CA. Aggressive fibromatosis of the head and neck. Am J Surg. 1975; 130: 412-415.
– reference: 1. Enzinger FM, Weiss SW. Soft tissue tumors. 3rd ed. St. Louis: Mosby- Year Book, Inc; 1995: 201, 210-211, 231, 251-256.
– reference: 9. Larsson A, Bjorlin G. Aggressive fibrous lesions of the oral cavity. J Oral Pathol. 1976; 5: 241-251.
– reference: 7. Allen PW. The fibromatoses: a clinicopathologic classification based on 140 cases, Part 2. Am J Surg Pathol. 1977; 1: 305-321.
– reference: 25. Dorfman HD, Czerniak B. Bone Tumors. St. Louis: Mosby, Inc; 1998: 514, 521-53.
– reference: 27. Crim JR, Gold RH, Mirra JM, Eckardt JJ, Bassett LW. Desmoplastic fibroma of bone: radiographic analysis. Radiology. 1989; 172: 827-832.
– reference: 14. Shapiro W, Goffin FB. Fibromatosis: a case involving the mandible. Laryngoscope. 1968; 78: 78-88.
– reference: 13. Connolly NK. Juvenile fibromatosis: a case report showing invasion of the bone. Arch Disease Child. 1961; 36: 171-175.
– reference: 3. Shuman R, Anderson WAD. Mesenchymal tumors of soft tissues. In: Anderson WAD, Kissane JM, ed. Pathology: 7th ed. St. Louis: Mosby; 1977: 1874-1875, 1880-1883.
– reference: 24. Bohm P, Krober S, Greschniok A, Laniado M, Kaiserling E. Desmoplastic fibroma of the bone. cancer. 1996; 78: 1011-1023.
– reference: 19. Carr RJ, Zaki GA, Leader MB, Langdon JD. Infantile fibromatosis with involvement of the mandible. Br J Oral Maxillofac Surg. 1992; 30: 257-262.
– reference: 4. Stout AP. Juvenile fibromatoses. Cancer. 1954; 7: 953-978.
– reference: 15. Peede LF, Epker BN. Aggressive juvenile fibromatosis involving the mandible: surgical excision with immediate reconstruction. Oral Surg Oral Med Oral Pathol. 1977; 43 651-657.
– reference: 22. 小野富昭, 白石豊彦, 伊藤秀夫. 下顎骨に発生した類腱線維腫 (desmoplastic fibroma) の2例. 口科誌. 1980; 26: 1322-1327.
– reference: 20. Hoffman CD, Levant BA, Hall RK. Aggressive infantile fibromatosis: report of a case undergoing spontaneous regression. J Oral Maxillofac Surg. 1993; 51: 1043-1047.
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Snippet This paper reports a case of infantile fibromatosis occurring at the alveolar portion of the mandible. Imaging findings were analyzed in detail. The patient...
This paper reports a case of infantile fibromatosis occurring at the alveolar portion of the mandible. Imaging findings were analyzed in detail.The patient was...
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SubjectTerms CT
Infantile fibromatosis
mandible
下顎
小児線維腫症
Title Infantile fibromatosis of the mandible
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