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[Odontogenic fibromyxoma]
M Gómez Triana1, J P Luengas Monroy
1Servicio de Cirugía Pediátrica, Hospital Militar Central, Universidad Militar Nueva Granada, Bogotá, Colombia. juanpablo24@hotmail.com
Anales De Pediatria (Barcelona, Spain : 2003)
|April 14, 2005
Summary
A rare odontogenic fibromyxoma was diagnosed in a 3-year-old boy with a growing submandibular mass. This pediatric case highlights the importance of considering uncommon diagnoses for neck masses.
Area of Science:
- Oral and Maxillofacial Pathology
- Pediatric Dentistry
- Head and Neck Oncology
Background:
- Odontogenic fibromyxoma is a rare benign tumor originating from odontogenic tissues.
- It typically presents as a slow-growing mass, often in the jawbones.
- While common in adults, its occurrence in pediatric patients is exceptionally infrequent.
Observation:
- A 3-year-old male child presented with a progressively enlarging submandibular mass.
- The mass was surgically excised for diagnosis and management.
- Clinical presentation mimicked other common pediatric neck masses.
Findings:
- Histopathological examination confirmed the diagnosis of odontogenic fibromyxoma.
- The tumor exhibited characteristic myxoid stroma with spindle-shaped cells.
- Immunohistochemical analysis supported the odontogenic origin.
Implications:
- This case underscores the need for a broad differential diagnosis in pediatric submandibular masses.
- Early and accurate diagnosis is crucial for appropriate management and to prevent complications.
- Further research into the etiology and behavior of odontogenic fibromyxoma in children may be warranted.