A giant peripheral ossifying fibroma of the maxilla with extreme difficulty in clinical differentiation from malignancy: a case report and review of the literature Article Swipe
Ryo Takagi
,
Kosei Mori
,
Takashi Koike
,
Sayumi Tsuyuguchi
,
Kengo Kanai
,
Yoshihiro Watanabe
,
Mitsuhiro Okano
,
Yoshihiro Noguchi
,
Aya Tanaka
,
Kinue Kurihara
,
Kazumichi Sato
,
Ken Ishizaki
,
Yuichiro Hayashi
,
Yorihisa Imanishi
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13256-024-04529-9
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13256-024-04529-9
Background Peripheral ossifying fibroma is a nonneoplastic inflammatory hyperplasia that originates in the periodontal ligament or periosteum in response to chronic mechanical irritation. Peripheral ossifying fibroma develops more commonly in young females as a solitary, slow-growing, exophytic nodular mass of the gingiva, no more than 2 cm in diameter. While various synonyms have been used to refer to peripheral ossifying fibroma, very similar names have also been applied to neoplastic diseases that are pathologically distinct from peripheral ossifying fibroma, causing considerable nomenclatural confusion. Herein, we report our experience with an unusual giant peripheral ossifying fibroma with a differential diagnostic challenge in distinguishing it from a malignancy. Case presentation A 68-year-old Japanese male was referred to our department with a suspected gingival malignancy presenting with an elastic hard, pedunculated, exophytic mass 60 mm in diameter in the right maxillary gingiva. In addition to computed tomography showing extensive bone destruction in the right maxillary alveolus, positron emission tomography with computed tomography revealed fluorodeoxyglucose hyperaccumulation in the gingival lesion. Although these clinical findings were highly suggestive of malignancy, repeated preoperative biopsies showed no evidence of malignancy. Since even intraoperative frozen histological examination revealed no malignancy, surgical resection was performed in the form of partial maxillectomy for benign disease, followed by thorough curettage of the surrounding granulation tissue and alveolar bone. Histologically, the excised mass consisted primarily of a fibrous component with sparse proliferation of atypical fibroblast-like cells, partly comprising ossification, leading to a final diagnosis of peripheral ossifying fibroma. No relapse was observed at the 10-month follow-up. Conclusions The clinical presentation of giant peripheral ossifying fibromas can make the differential diagnosis from malignancy difficult. Proper diagnosis relies on recognition of the characteristic histopathology and identification of the underlying chronic mechanical stimuli, while successful treatment mandates complete excision of the lesion and optimization of oral hygiene. Complicated terminological issues associated with peripheral ossifying fibroma require appropriate interpretation and sufficient awareness of the disease names to avoid diagnostic confusion and provide optimal management.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1186/s13256-024-04529-9
- https://jmedicalcasereports.biomedcentral.com/counter/pdf/10.1186/s13256-024-04529-9
- OA Status
- gold
- Cited By
- 3
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396640438
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396640438Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s13256-024-04529-9Digital Object Identifier
- Title
-
A giant peripheral ossifying fibroma of the maxilla with extreme difficulty in clinical differentiation from malignancy: a case report and review of the literatureWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-04Full publication date if available
- Authors
-
Ryo Takagi, Kosei Mori, Takashi Koike, Sayumi Tsuyuguchi, Kengo Kanai, Yoshihiro Watanabe, Mitsuhiro Okano, Yoshihiro Noguchi, Aya Tanaka, Kinue Kurihara, Kazumichi Sato, Ken Ishizaki, Yuichiro Hayashi, Yorihisa ImanishiList of authors in order
- Landing page
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https://doi.org/10.1186/s13256-024-04529-9Publisher landing page
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https://jmedicalcasereports.biomedcentral.com/counter/pdf/10.1186/s13256-024-04529-9Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://jmedicalcasereports.biomedcentral.com/counter/pdf/10.1186/s13256-024-04529-9Direct OA link when available
- Concepts
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Medicine, Malignancy, Pathology, Periodontal fiber, Fibroma, Differential diagnosis, Lesion, DentistryTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 1, 2024: 2Per-year citation counts (last 5 years)
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| primary_location.pdf_url | https://jmedicalcasereports.biomedcentral.com/counter/pdf/10.1186/s13256-024-04529-9 |
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| primary_location.raw_source_name | Journal of Medical Case Reports |
| primary_location.landing_page_url | https://doi.org/10.1186/s13256-024-04529-9 |
| publication_date | 2024-05-04 |
| publication_year | 2024 |
| referenced_works | https://openalex.org/W2074661617, https://openalex.org/W3200874953, https://openalex.org/W93585, https://openalex.org/W6792750408, https://openalex.org/W2143592836, https://openalex.org/W1990848720, https://openalex.org/W1975931345, https://openalex.org/W2234962540, https://openalex.org/W2980195178, https://openalex.org/W3207838600, https://openalex.org/W2149464989, https://openalex.org/W4200085994, https://openalex.org/W2071066626, https://openalex.org/W4283158068, https://openalex.org/W2341792424, https://openalex.org/W1971567194, https://openalex.org/W2206309617, https://openalex.org/W2033176613, https://openalex.org/W1987476549, https://openalex.org/W2046371589, https://openalex.org/W2061224077, https://openalex.org/W2072991504, https://openalex.org/W2340909467 |
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