2021, Number 4
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Rev ADM 2021; 78 (4)
Odontogenic myxofibroma, case report with 5 years of follow-up.
Ruiz-Vázquez Y, Espino-Tejeda RR, Aldape-Barrios BC
Language: Spanish
References: 14
Page: 235-239
PDF size: 418.97 Kb.
ABSTRACT
Odontogenic myxoma is a slow-growing locally invasive intraosseous lesion with defined microscopic appearance. Radiographic appearance, is described as multilocular radiolucent lesion, which is reported in scientific literature as "honeycomb" or "soap bubbles" appearance most of the time; it exhibits dental displacement and cortical expansion. Histopathologically, stellate and spindle cells with cytoplasmic processes are observed in a mucoid or myxoid substance, with or without collagen; when it contains large amounts of mature cellular fibrous tissue, it is called myxofibroma. The present article presents the case of a 38 year old male, who attended the General Hospital in Uruapan, Michoacán due to an increased volume in the right maxillary region. Incisional biopsy was performed and the histopathological diagnosis of odontogenic myxofibroma was emitted. 33.6% of cases occur in the maxilla with a uniform distribution throughout the areas, and can erode the maxillary sinus. It has a recurrence rate of 10 to 33%, therefore ideal treatment is bloc resection leaving safety margins.
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