medigraphic.com
ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2020, Number 2-3

<< Back Next >>

Rev Mex Cir Bucal Maxilofac 2020; 16 (2-3)

Central mandibular xanthoma. Presentation of a case, follow-up at 2 years

Hernández VSD, Cortés HS, López SF, Aldape BBC

Language: Spanish
References: 21
Page: 110-117
PDF size: 432.85 Kb.


ABSTRACT

The objective of this article is to report the clinical, radiographic, tomographic and histological findings about the clinical case of a female patient of 35 years of age who is referred to our center due to the presence of a behavioral lesion and clinical characteristics nonspecific in mandibular body and branch on the right side. As an initial treatment it was decided to perform a preoperative biopsy because the previous histopathological reports were not conclusive to determine the origin of the lesion, finally obtaining a histopathological result, it is determined that the lesion corresponds to a central mandible xanthoma, proceeding to perform treatment Surgical reconstruction by resection of the right side of the body and mandibular ramus and its immediate reconstruction through the placement of a reconstruction plate with condylar attachment, after the final histopathological result, and obtaining margins free of injury, proceed To perform, functional reconstructive therapy, through the elaboration of mandibular maxillofacial prosthesis, because patient does not accept surgical alternative of treatment with autologous graft (AG), due to risk and surgical morbidity associated to surgical procedure. According to current literature, central xanthomas of the jaws not associated with underlying endocrine or metabolic abnormalities are extremely rare benign bone lesions, so far, in the world literature, only less than ten cases of xanthoma have been reported in the mandible. Currently the patient has a follow-up at two year, without clinical or tomographic data of relapse of the lesion, with acceptable aesthetic and functional results.


REFERENCES

  1. Huang GS, Huang CW, Lee CW. Xanthoma of the sacrum. Skeletal Radiol. 2004; 33: 674-678.

  2. Muthusamy KA, Azmi K, Narayanan P. Bilateral temporal bone xanthoma: case report. J Neurosurg. 2008; 108: 361-364.

  3. Marques Mateo M, Puche Torres M, Miragall Alba L. Primary mandibular bone xanthoma: a case report. Int J Oral Maxillofac Surg. 2004; 33: 86-87.

  4. Harsanyi BB, Larsson A. Xanthomatous lesions of the mandible: osseous expression of non-X histiocytosis and benign fibrous histiocytoma. Oral Surg Oral Med Oral Pathol. 1988; 65: 551-566.

  5. Rudy HN, Scheingold SS. Solitary xanthogranuloma of the mandible. Report of a case. Oral Surg Oral Med Oral Pathol. 1964; 18: 262-271.

  6. Slootweg PJ, Swart GN, van Kaam N. Xanthomatous lesion of the mandible. Report of a case. Int J Oral Maxillofac Surg. 1993; 22: 236-237.

  7. Bonhomme GR, Loevner LA, Yen DM, Deems DA, Bigelow DC, Mirza N. Extensive intracranial xanthoma associated with type II hyperlipidemia. AJNR Am J Neuroradiol. 2000; 21: 353-355.

  8. Mosby EL, Albright JE, Messer EJ, Nealis MF, Werning JT. Case 44, Part II: xanthoma of the mandible. J Oral Maxillofac Surg. 1983; 41: 268-270.

  9. Inserra S, Einhorn TA, Vigorita VJ, Smith AG. Intraosseous xanthoma associated with hyperlipoproteinemia: a case report. Clin Orthop Relat Res. 1984; 187: 218-222.

  10. Alden KJ, McCarthy EF, Weber KL. Xanthoma of bone: a report of three cases and review of the literature. Iowa Orthop J. 2008; 28: 58-64.

  11. de Moraes Ramos-Perez FM, de Pádua JM, Silva-Sousa YT, de Almeida OP, da Cruz Perez DE. Primary xanthoma of the mandible. Dentomaxillofac Radiol. 2011; 40: 393-396.

  12. Bertoni F, Unni KK, McLeod RA, Sim FH. Xanthoma of bone. Am J Clin Pathol. 1988; 99: 377-384.

  13. Fink IJ, Lee MA, Gregg RE. Radiographic and CT appearance of intraosseous xanthoma mimicking a malignant lesion. Br J Radiol. 1985; 58: 262-264.

  14. Kyriakos M. Benign fibrous histiocytoma of bone. In: Fletcher CDM, Unni KK, Mertens F. World health organization classification of tumours. Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press; 2002. pp. 292-293.

  15. Betsy M, Kupersmith LM, Springfield DS. Metaphyseal fibrous defects. J Am Acad Orthop Surg. 2004; 12: 89-95.

  16. Akbulut S, Zulfu A, Basbug M. Benign fibrous histiocytoma arising from the right shoulder: is immunohistochemical staining always required for a definitive diagnosis? Int Surg Case Rep. 2012; 3: 287-289.

  17. Pradhananga RB, Dangol K, Shrestha A, Baskota DK. Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): a case report and literature review. Int Arch Otorhinolaryngol. 2014; 18: 406-408.

  18. Ahmadieh A, Farnad F, Sedghizadeh PP. Gaucher disease with jawbone involvement: a case report. J Med Case Rep. 2014; 8: 360.

  19. Huang CF, Cheng SN, Hung CH. Xanthoma of bone in the normolipidic child: report of one case. Acta Paediatr Taiwan. 2000; 41: 158-160.

  20. Daley T, Dunn G, Darling M. Central xanthoma of the jaws: a clinicopathologic entity? Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 119: 92-100.

  21. Dahlin DC. Bone tumors. 2nd ed. Springfield: Charles C Thomas; 1967. p. 97.




2020     |     www.medigraphic.com