Stock F, Petrosino P, Cammarata SF, Gamboa J, Arenas de SA, Milano M

Language: Spanish
References: 19
Page: 280-283
PDF size: 157.83 Kb.

ABSTRACT

Introduction. Osteoblastoma is an infrequent tumor, constituting 1% of primary bone tumors and its occurrence in the maxillofacial region constitutes is equally unusual. Correct diagnosis is difficult, since it bears clinical, radiologic and histological similarities with other bone lesions.
Clinical case. Eleven year old boy with two month of an inflammatory progressive increase tumor located on left inferior body maxillar bone. The histological study shown that it was a tumoral epiteliod osteoblastic lesion with positive osteocalcine immunoreactivity. It was extirpated and after two years of following in the outpatient clinic there is not signs evidence of disease.
Discussion. Agressive osteoblastoma is an infrequent bone neoplasm, constituted mainly by epitelioid cells. Recommended treatment is surgical en-block resection.
Conclusion. Aggressive Osteoblastoma is a very infrequent bone tumor. Therefore, the clinician must be well trained in order to establish an early an accurate diagnosis and indicate an adequate and opportune treatment.

REFERENCES

1. Bilkay U, Erdem O, Ozek C, Helvaci E, Kilic K, Ertan Y, Gurler T. A rare location of benign osteoblastoma: review of the literature and report of a case. J Craniofac Surg 2004; 15: 222-5.

2. Ozturk M, Ozec I, Aker H, Muslehiddinoglu A. Osteoblastoma of the mandible with root resorption: a case report. Quintessence Int 2003; 34: 135-8.

3. Lucas DR, Unni KK, McLeod RA, O’Connor MI, Sim FH. Osteoblastoma: clinicopathologic study of 306 cases. Hum Pathol 1994; 25: 117-34.

4. Alvares CAL, Giao DMS, Casati AL, Negrao FR, Sant’Ana E. Osteoblastoma of the mandible: systematic review of the literature and report of a case. Dentomaxillofac Radiol 2005; 34: 1-8.

5. McLeod RA, Dahlin DC, Beabout JW. The spectrum of osteoblastoma. Am J Roentgenol 1976; 126: 321-5.

6. Dorfman HD, Weiss SW. Borderline osteoblastic tumors: problems in the differential diagnosis of aggressive osteoblastoma and low-grade osteosarcoma. Semin Diagn Pathol 1984; 1: 215-34.

7. Peters TE, Oliver DR, McDonald JS. Benign osteoblastoma of the mandible: report of a case. J Oral Maxillofac Surg 1995; 53: 1347-9.

8. Haug RH, Hauer C, De Camillo AJ, Araneta M. Benign osteoblastoma of the mandible: report of a case. J Oral Maxillofac Surg 1990; 48: 743-8.

9. Angervall L, Persson S, Stenman G et al. Large cell, epithelioid, telangiectatic osteoblastoma: a unique pseudosarcomatous variant of osteoblastoma. Hum Pathol 1999; 30: 1254-9.

10. Vigneswaran N, Fernandes R, Rodu B, Baughman RA, Siegal GP. Aggressive osteoblastoma of the mandible closely simulating calcifying epithelial odontogenic tumor. Report of two cases with unusual histopathologic findings. Pathol Res Pract 2001; 197: 569-76.

11. Vergara A, Carelli F. Tumores óseos. Rev Soc Venezolana Cirug Ortop Trauma 1982; 1: 16.

12. Ohkubo T, Hernandez JC, Ooya K. «Aggressive» osteoblastoma of the maxilla. Oral Surg, Oral, Med Oral Pathol 1989; 68: 69-73.

13. Colm SJ, Abrams MB, Waldron CA. Recurrent osteoblastoma of the mandible: report of a case. J Oral Maxillofac Surg 1988; 46: 881-5.

14. De Vicente JC, Gonzáles S, Santamaría J, Madrigal B. Tumores no odontogénicos de los maxilares: clasificación, clínica y diagnóstico. Med Oral 1997; 2: 83-93.

15. Samson J, Kuffer R, Bernard JP, Fiore-Donno G. Osteoblastoma of the jaws. 2 cases and a review of the literature. Rev Stomatol Chir Maxillofac 1985; 86: 285-93.

16. Cerase A, Priolo F. Skeletal benign bone-forming lesions. Eur J Radiol 1998; 27 Suppl 1: S91-7.

17. Slootweg PJ. Cementoblastoma and osteoblastoma: a comparison of histologic features. J Oral Pathol Med 1992; 21: 385-9.

18. El-Mofty SK. Cemento-ossifying fibroma and benign cementoblastoma. Semin Diagn Pathol 1999; 16: 302-7.

19. Galdeano AM, Crespo PJI, Álvarez OR, Espeso FA, Verrier HA. Fibroma cemento-osificante gingival mandibular: presentación de un caso. Med Oral 2004; 9: 176-9.