上顎洞を占拠した上顎骨粘液線維腫の1例

Myxofibroma of the jaw is a rare benign mesenchymal-related tumor. This tumor has the ability to deeply invade into bone trabeculae, and the recurrence rate is thus high. Here, we present a case of myxofibroma of the maxilla occupying the maxillary sinus. The patient was a 51-year-old woman with pai...

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Published in日本口腔外科学会雑誌 Vol. 66; no. 9; pp. 431 - 438
Main Authors 碇, 竜也, 中村, 誠司, 川野, 真太郎, 清島, 保, 緒方, 謙一, 松村, 万由
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.09.2020
Subjects
上顎洞
粘液線維腫
Online AccessGet full text
ISSN0021-5163
2186-1579
DOI10.5794/jjoms.66.431

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Abstract Myxofibroma of the jaw is a rare benign mesenchymal-related tumor. This tumor has the ability to deeply invade into bone trabeculae, and the recurrence rate is thus high. Here, we present a case of myxofibroma of the maxilla occupying the maxillary sinus. The patient was a 51-year-old woman with painless swelling of the right buccal region. CT findings revealed a well-defined and multilocular tumor mass in the maxillary sinus. The nasal cavity on the right was remarkably compressed by the tumor mass. The pathological diagnosis of the biopsy specimen was myxoma. Under general anesthesia, partial maxillectomy and skin grafting were performed. The pathological findings showed proliferation of stellate, spindleshaped, and round cells with myxoid and fibrous changes in the bone tissue. The pathological diagnosis was finally myxofibroma. Follow-up for 3 years after tumor resection indicated a good prognosis with no sign of recurrence.
AbstractList Myxofibroma of the jaw is a rare benign mesenchymal-related tumor. This tumor has the ability to deeply invade into bone trabeculae, and the recurrence rate is thus high. Here, we present a case of myxofibroma of the maxilla occupying the maxillary sinus. The patient was a 51-year-old woman with painless swelling of the right buccal region. CT findings revealed a well-defined and multilocular tumor mass in the maxillary sinus. The nasal cavity on the right was remarkably compressed by the tumor mass. The pathological diagnosis of the biopsy specimen was myxoma. Under general anesthesia, partial maxillectomy and skin grafting were performed. The pathological findings showed proliferation of stellate, spindleshaped, and round cells with myxoid and fibrous changes in the bone tissue. The pathological diagnosis was finally myxofibroma. Follow-up for 3 years after tumor resection indicated a good prognosis with no sign of recurrence.
Author 碇, 竜也
松村, 万由
清島, 保
中村, 誠司
緒方, 謙一
川野, 真太郎
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  organization: 九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野
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  fullname: 川野, 真太郎
  organization: 九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野
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  fullname: 清島, 保
  organization: 九州大学大学院歯学研究院口腔顎顔面病態学講座口腔病理学分野
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  fullname: 松村, 万由
  organization: 九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野
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References 14) 尾崎登喜雄， 小谷仁美， 他：下顎骨および頰部にみられた粘液線維腫の2症例．日口外誌 24: 1202-1206, 1978.
36) Cankaya AB, Erdem MA, et al : Myxofibroma of the maxilla, current concepts, and differential diagnosis. J Dent Sci 12: 417-420, 2017.
44) Barros RE, Dominiguez FV, et al : Myxoma of the jaws. OS OM OP 27: 225-236, 1969.
31) Harrison JD and Eggleston DJ : Odontogenic myxoma of the maxilla; a case report and some interesting histological findings. Br J Oral Surg 11: 43-47, 1973.
7) 鈴木　進：顎骨内部に発生する線維性腫瘍についての病理学的研究．口腔病会誌 26: 298-315, 1959.
17) 中谷善行， 三浦健司， 他：上顎にみられた中心性粘液線維腫の1例．日口外誌 31: 1425-1431, 1985.
23) 立松憲親， 小久保恒正， 他：上顎に発生した顎骨中心性粘液線維腫の1例．日口外誌 36: 1092-1095, 1990.
28) 佐藤賢一， 瀬戸美夏， 他：2科で共同治療を行った上顎骨歯原性粘液線維腫の1症例．福岡大医紀 35: 193-197, 2008.
35) Bahl S, Godishala Swamy SR, et al : Central odontogenic fibromyxoma of mandible: an aggressive odontogenic pathology. BMJ Case Rep. http://dx.doi.org/10.1136/bcr-2016-217303. Accessed October 27, 2016.
1) Infante-Cossio P, Martinez-de-Fuentes R, et al : Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection. Med Oral Patol Oral Cir Bucal 16: e532-536, 2011.
43) Schneck DL, Gross PD, et al : Odontogenic myxoma.; Report of two cases with reconstruction considerations. J Oral Maxillofac Surg 51: 935-940, 1993.
45) 籾山正徳， 川原田幸三， 他：顎骨内粘液腫の症例および本邦におけるその文献的考察．口科誌 19: 957-965, 1970.
16) 普天間朝義， 松田耗策， 他：特異な石灰化物を伴った歯原性粘液線維腫の1例．日口外誌 30: 1494-1500, 1984.
12) Sedano HO and Gorlin RJ : Odontogenic myxoma: some histochemical considerations. Arch Oral Biol 10: 727-794, 1965.
13) 下里常弘， 作田正義， 他：巨大な粘液腫の2症例について．日口外誌 16: 35-40, 1970.
42) Abiose BO, Ajagbe HA, et al : Fibromyxomas of the jaw-bones-a study of ten cases. Br J Oral Maxillofac Surg 25: 415-421, 1987.
48) Rowland A, Benjamin F, et al : Central Myxoma/Myxofibroma of the Jaws: A Clinico-Epidemiologic Review. Iran J Otorhinolaryngol 29: 35-42, 2017.
46) Marx RE and Stern D : Oral and Maxillofacial Pathology: A Rationale for Diagnosis and Treatment. 2 edition, Quintessence Pub Co, USA, 2012, p702-710.
37) Alhousami T, Sabharwal A, et al : Fibromyxoma of the Jaw: Case Report and Review of the Literature. Head Neck Pathol 12: 44-51, 2018.
20) 安川和夫， 小林伸之， 他：下顎に発生した粘液線維腫の3例．日口外誌 34: 558-564, 1988.
38) Gorlin, RJ and Meskin LH : Odontgenic tumors in man and animals: pathologic classification and clinical behavior- a review, Ann. NY Academy Sci 108: 722-771, 1968.
19) 大島利洋， 高井克憙， 他：下顎骨に発生した歯原性粘液腫の1例．日口外誌 33: 117-122, 1987.
18) 谷江勇一， 大久保恒正， 他：眼球突出を来した粘液線維腫の1症例．口科誌 34: 194-201, 1985.
15) 大野　敬， 森井栄作， 他：上顎骨に発生した顎骨中心性粘液線維腫の1例．日口外誌 28: 934-940, 1982.
4) Meleti M, Giovannacci I, et al : Odontogenic myxofibroma: a concise review of the literature with emphasis on the surgical approach. Med Oral Patol Oral Cir Bucal 20: e1-6, 2015.
10) 石川梧朗， 秋吉正豊：口腔病理学II. 改訂販， 永末書店， 東京， 1982, 491-494 頁
26) 鈴木寿和， 鶴迫伸一， 他：下顎前歯部－小臼歯部に生じた歯原性粘液線維腫の1例．日口外誌 48: 83-86, 1999.
25) 矢郷　香， 田中陽一， 他：上顎前歯部に生じた粘液線維腫の1例．日口外誌 41: 647-649, 1995.
22) 本村和弥， 山城正宏， 他：上顎に生じた歯原性粘液線維腫の1例．日口外誌 35: 2346-2351, 1989.
30) 佐藤　仁， 安居孝純， 他：小児の下顎骨に生じた歯原性粘液腫の1例．日口外誌 63: 467-471, 2017.
11) 奥井　寛， 長畑　光， 他：Central fibromaのいわゆるmyxomatous changeに関する電顕的観察観察． 日口外誌 22: 805-811, 1976.
32) Farman AG, Nortje CJ, et al : MYXOFIBROMA OF THE JAWS. Br J Oral Surg 15: 3-18, 1977.
3) 藤岡幸雄：中心性顎骨線維腫の種々の相について. 口科誌 91: 323-333, 1960.
24) 湯浅秀道， 飯田　進， 他：上顎粘液線維の1例．日口外誌 38: 1198-1199, 1992.
41) 藤井信行， 小谷　勇， 他：下顎骨に広範囲に進展した中心性歯原性線維腫の1例．日口外誌 58: 292-296, 2012.
5) El-Naggar AK, Chan JKC et al : WHO Classification of Head and Neck Tumors, 4th ed. IARC Press, Lyon, 2017, p203-231.
34) Haser GC, Su HK, et al : Pediatric odontogenic fibromyxoma of the mandible: Case report and review of the literature. Head Neck 38: E25-28, 2016.
29) 諏訪裕彦， 川原田幸司， 他：下顎骨に生じた粘液線維腫の1例．岐阜歯会誌 40: 159-163, 2013.
40) Correa Pontes FS, Lacerda de Souza L, et al : Central odontogenic fibroma: An updated systematic review of cases reported in the literature with emphasis on recurrence influencing factors. J Craniomaxillofac Surg 46: 1753-1757, 2018.
6) 野村城二， 田川俊郎， 他：顎骨内粘液線維腫の2症例および本邦における文献的考察．口科誌 36: 226-238, 1987.
21) 石原　朗， 松本修平， 他：下顎前歯部に発生した粘液線維腫の1例．日口外誌 35: 1922-1928, 1989.
39) Chrcanovic BR and Gomez RS : Odontogenic myxoma: An updated analysis of 1,692 cases reported in the literature. Oral Dis 25: 676-683, 2019.
8) Hasleton PS, Simpson W, et al : Myxoma of the mandible-A fibroblastic tumor. Oral Surg 46: 396-406, 1978.
27) 清水麻斎子， 田島　徹， 他：下顎骨粘液線維腫の1例．日口診誌 17: 124-130, 2004.
33) Dietrich EM, Papaemmanouil S, et al : Odontogenic fibromyxoma of the maxilla: a case report and review of the literature. Case Rep Med. https://doi.org/10.1155/2011/238712. Accessed May 2, 2011.
47) Takahashi Y, Tanaka K, et al : Appropriate surgical margin for odontogenic myxoma: a review of 12 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 126: 404-408, 2018.
2) Thoma KH and Goldman HM : Central myxoma of the jaw Am J Orth and Oral Surg 33: 532-540, 1947.
9) 増田正樹：中心性粘液線維腫の2例．日口外誌 17: 432-437, 1971.
References_xml – reference: 38) Gorlin, RJ and Meskin LH : Odontgenic tumors in man and animals: pathologic classification and clinical behavior- a review, Ann. NY Academy Sci 108: 722-771, 1968.
– reference: 8) Hasleton PS, Simpson W, et al : Myxoma of the mandible-A fibroblastic tumor. Oral Surg 46: 396-406, 1978.
– reference: 26) 鈴木寿和， 鶴迫伸一， 他：下顎前歯部－小臼歯部に生じた歯原性粘液線維腫の1例．日口外誌 48: 83-86, 1999.
– reference: 42) Abiose BO, Ajagbe HA, et al : Fibromyxomas of the jaw-bones-a study of ten cases. Br J Oral Maxillofac Surg 25: 415-421, 1987.
– reference: 33) Dietrich EM, Papaemmanouil S, et al : Odontogenic fibromyxoma of the maxilla: a case report and review of the literature. Case Rep Med. https://doi.org/10.1155/2011/238712. Accessed May 2, 2011.
– reference: 27) 清水麻斎子， 田島　徹， 他：下顎骨粘液線維腫の1例．日口診誌 17: 124-130, 2004.
– reference: 14) 尾崎登喜雄， 小谷仁美， 他：下顎骨および頰部にみられた粘液線維腫の2症例．日口外誌 24: 1202-1206, 1978.
– reference: 21) 石原　朗， 松本修平， 他：下顎前歯部に発生した粘液線維腫の1例．日口外誌 35: 1922-1928, 1989.
– reference: 39) Chrcanovic BR and Gomez RS : Odontogenic myxoma: An updated analysis of 1,692 cases reported in the literature. Oral Dis 25: 676-683, 2019.
– reference: 34) Haser GC, Su HK, et al : Pediatric odontogenic fibromyxoma of the mandible: Case report and review of the literature. Head Neck 38: E25-28, 2016.
– reference: 45) 籾山正徳， 川原田幸三， 他：顎骨内粘液腫の症例および本邦におけるその文献的考察．口科誌 19: 957-965, 1970.
– reference: 30) 佐藤　仁， 安居孝純， 他：小児の下顎骨に生じた歯原性粘液腫の1例．日口外誌 63: 467-471, 2017.
– reference: 44) Barros RE, Dominiguez FV, et al : Myxoma of the jaws. OS OM OP 27: 225-236, 1969.
– reference: 11) 奥井　寛， 長畑　光， 他：Central fibromaのいわゆるmyxomatous changeに関する電顕的観察観察． 日口外誌 22: 805-811, 1976.
– reference: 32) Farman AG, Nortje CJ, et al : MYXOFIBROMA OF THE JAWS. Br J Oral Surg 15: 3-18, 1977.
– reference: 35) Bahl S, Godishala Swamy SR, et al : Central odontogenic fibromyxoma of mandible: an aggressive odontogenic pathology. BMJ Case Rep. http://dx.doi.org/10.1136/bcr-2016-217303. Accessed October 27, 2016.
– reference: 43) Schneck DL, Gross PD, et al : Odontogenic myxoma.; Report of two cases with reconstruction considerations. J Oral Maxillofac Surg 51: 935-940, 1993.
– reference: 41) 藤井信行， 小谷　勇， 他：下顎骨に広範囲に進展した中心性歯原性線維腫の1例．日口外誌 58: 292-296, 2012.
– reference: 18) 谷江勇一， 大久保恒正， 他：眼球突出を来した粘液線維腫の1症例．口科誌 34: 194-201, 1985.
– reference: 19) 大島利洋， 高井克憙， 他：下顎骨に発生した歯原性粘液腫の1例．日口外誌 33: 117-122, 1987.
– reference: 16) 普天間朝義， 松田耗策， 他：特異な石灰化物を伴った歯原性粘液線維腫の1例．日口外誌 30: 1494-1500, 1984.
– reference: 3) 藤岡幸雄：中心性顎骨線維腫の種々の相について. 口科誌 91: 323-333, 1960.
– reference: 6) 野村城二， 田川俊郎， 他：顎骨内粘液線維腫の2症例および本邦における文献的考察．口科誌 36: 226-238, 1987.
– reference: 48) Rowland A, Benjamin F, et al : Central Myxoma/Myxofibroma of the Jaws: A Clinico-Epidemiologic Review. Iran J Otorhinolaryngol 29: 35-42, 2017.
– reference: 12) Sedano HO and Gorlin RJ : Odontogenic myxoma: some histochemical considerations. Arch Oral Biol 10: 727-794, 1965.
– reference: 5) El-Naggar AK, Chan JKC et al : WHO Classification of Head and Neck Tumors, 4th ed. IARC Press, Lyon, 2017, p203-231.
– reference: 36) Cankaya AB, Erdem MA, et al : Myxofibroma of the maxilla, current concepts, and differential diagnosis. J Dent Sci 12: 417-420, 2017.
– reference: 1) Infante-Cossio P, Martinez-de-Fuentes R, et al : Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection. Med Oral Patol Oral Cir Bucal 16: e532-536, 2011.
– reference: 20) 安川和夫， 小林伸之， 他：下顎に発生した粘液線維腫の3例．日口外誌 34: 558-564, 1988.
– reference: 15) 大野　敬， 森井栄作， 他：上顎骨に発生した顎骨中心性粘液線維腫の1例．日口外誌 28: 934-940, 1982.
– reference: 29) 諏訪裕彦， 川原田幸司， 他：下顎骨に生じた粘液線維腫の1例．岐阜歯会誌 40: 159-163, 2013.
– reference: 10) 石川梧朗， 秋吉正豊：口腔病理学II. 改訂販， 永末書店， 東京， 1982, 491-494 頁．
– reference: 23) 立松憲親， 小久保恒正， 他：上顎に発生した顎骨中心性粘液線維腫の1例．日口外誌 36: 1092-1095, 1990.
– reference: 24) 湯浅秀道， 飯田　進， 他：上顎粘液線維の1例．日口外誌 38: 1198-1199, 1992.
– reference: 47) Takahashi Y, Tanaka K, et al : Appropriate surgical margin for odontogenic myxoma: a review of 12 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 126: 404-408, 2018.
– reference: 7) 鈴木　進：顎骨内部に発生する線維性腫瘍についての病理学的研究．口腔病会誌 26: 298-315, 1959.
– reference: 25) 矢郷　香， 田中陽一， 他：上顎前歯部に生じた粘液線維腫の1例．日口外誌 41: 647-649, 1995.
– reference: 46) Marx RE and Stern D : Oral and Maxillofacial Pathology: A Rationale for Diagnosis and Treatment. 2 edition, Quintessence Pub Co, USA, 2012, p702-710.
– reference: 13) 下里常弘， 作田正義， 他：巨大な粘液腫の2症例について．日口外誌 16: 35-40, 1970.
– reference: 4) Meleti M, Giovannacci I, et al : Odontogenic myxofibroma: a concise review of the literature with emphasis on the surgical approach. Med Oral Patol Oral Cir Bucal 20: e1-6, 2015.
– reference: 40) Correa Pontes FS, Lacerda de Souza L, et al : Central odontogenic fibroma: An updated systematic review of cases reported in the literature with emphasis on recurrence influencing factors. J Craniomaxillofac Surg 46: 1753-1757, 2018.
– reference: 22) 本村和弥， 山城正宏， 他：上顎に生じた歯原性粘液線維腫の1例．日口外誌 35: 2346-2351, 1989.
– reference: 31) Harrison JD and Eggleston DJ : Odontogenic myxoma of the maxilla; a case report and some interesting histological findings. Br J Oral Surg 11: 43-47, 1973.
– reference: 28) 佐藤賢一， 瀬戸美夏， 他：2科で共同治療を行った上顎骨歯原性粘液線維腫の1症例．福岡大医紀 35: 193-197, 2008.
– reference: 2) Thoma KH and Goldman HM : Central myxoma of the jaw Am J Orth and Oral Surg 33: 532-540, 1947.
– reference: 37) Alhousami T, Sabharwal A, et al : Fibromyxoma of the Jaw: Case Report and Review of the Literature. Head Neck Pathol 12: 44-51, 2018.
– reference: 17) 中谷善行， 三浦健司， 他：上顎にみられた中心性粘液線維腫の1例．日口外誌 31: 1425-1431, 1985.
– reference: 9) 増田正樹：中心性粘液線維腫の2例．日口外誌 17: 432-437, 1971.
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Snippet Myxofibroma of the jaw is a rare benign mesenchymal-related tumor. This tumor has the ability to deeply invade into bone trabeculae, and the recurrence rate is...
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StartPage 431
SubjectTerms 上顎洞
粘液線維腫
Title 上顎洞を占拠した上顎骨粘液線維腫の1例
URI https://www.jstage.jst.go.jp/article/jjoms/66/9/66_431/_article/-char/ja
Volume 66
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ispartofPNX 日本口腔外科学会雑誌, 2020/09/20, Vol.66(9), pp.431-438
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