Abstract
Fibrosarcoma is a rare malignant fibroblastic neoplasm that only rarely affects the oral cavity. Here, we describe a rare case of fibrosarcoma affecting the mandible of a 10-year-old girl. Orthopantomography showed a well-defined radiolucency with a cortical rim typical of a benign lesion. However, occlusal radiographs showed Codman’s triangle, indicating the malignant nature of the lesion. Computed tomography showed a radiolucent lesion involving the buccal aspect of the mandible, and histopathological examination confirmed the diagnosis. The patient underwent surgical resection of the tumor and is currently undergoing regular follow-up examinations.
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Neville BW, Damm DD, Allen CM, Bouquot JE, editors. Oral and maxillofacial pathology. Philadelphia: WB Saunders; 2002. p. 480–1.
Kulander BG, Bolen JW. Pathology of soft tissues sarcomas. In: Raof JH, editor. Soft tissue sarcoma: diagnosis and treatment. St. Louis: Mosby; 1993. p. 43–68.
Pereira CM, Jorge Junior J, Di Hipólito O, Kowalski LP, Lopes MA. Primary intraosseous fibrosarcoma of jaw. Int J Oral Maxillofac Surg. 2005;34:579–81.
Slootweg PJ, Müller H. Fibrosarcoma of the jaws. A study of 7 cases. J Maxillofac Surg. 1984;12:157–62.
Orhan K, Orhan AI, Oz U, Pekiner FN, Delilbasi C. Misdiagnosed fibrosarcoma of the mandible mimicking temporomandibular disorder: a rare condition. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:e26–9.
Lo Muzio L, Mignogna MD, Pannone G, Staibano S, Testa NF. A rare case of fibrosarcoma of the jaws in a 4-year-old male. Oral Oncol. 1998;34:383–6.
Wood RE. Malignant diseases of the jaw. In: White SC, Pharoah MJ, editors. Oral radiology principles and interpretation. St. Louis: Mosby; 2004; p. 474–5.
Soares AB, Lins LHS, Mazedo AP, Neto JSP, Vargas PA. Fibrosarcoma originating in the mandible. Med Oral Patol Oral Cir Bucal. 2006;11:e243–6.
Kawai N, Wakasa T, Asaumi J, Kishi K. A radiographic study on resorption of tooth root associated with malignant tumors. Oral Radiol. 2000;16:55–65.
Yamaguchi S, Nagasawa H, Suzuki T, Fujii E, Iwaki H, Takagi M, et al. Sarcomas of the oral and maxillofacial region: a review of 32 cases in 25 years. Clin Oral Invest. 2004;8:52–5.
Acknowledgments
The authors would like to thank the Department of Oral and Maxillofacial Surgery, Oral and Maxillofacial Pathology of Narayana Dental College and Hospital (Nellore), and the Department of General Radiology of Narayana Medical College and Hospital (Nellore) for their support.
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Divya, A., Patil, R., Kannan, N. et al. Fibrosarcoma of the mandible: case report of a unique radiographic appearance. Oral Radiol 25, 77–80 (2009). https://doi.org/10.1007/s11282-009-0007-z
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DOI: https://doi.org/10.1007/s11282-009-0007-z