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Central odontogenic fibroma: a case report.
Ugo Covani1, Roberto Crespi, Nicola Perrini
1School of Dental Medicine and Nanoworld Institute, University of Genova, Italy.
Medicina Oral, Patologia Oral Y Cirugia Bucal
|July 5, 2005
Summary
This case report details a central odontogenic fibroma, a rare jaw tumor. Surgical removal resulted in no recurrence over a 6-year follow-up, indicating a favorable prognosis for this collagen-rich lesion.
Area of Science:
- Oral Pathology
- Odontogenic Tumors
- Fibroblastic Lesions
Background:
- Central odontogenic fibroma (COF) is a rare benign odontogenic tumor.
- Accurate diagnosis and treatment are crucial for favorable outcomes.
- Long-term follow-up data for COF are limited.
Observation:
- A painless gingival swelling in a 26-year-old female was diagnosed as COF.
- Radiographic evaluation revealed a well-defined radiolucent area.
- Histological analysis showed dense collagen bundles and absence of odontogenic epithelium.
Findings:
- The COF exhibited abundant collagen and lacked odontogenic epithelium.
- Surgical excision was performed for the lesion.
- No recurrence was observed during a 6-year post-operative monitoring period.
Implications:
- This case highlights the favorable prognosis of central odontogenic fibroma after complete surgical excision.
- The histological features, particularly the prominent collagen content, are consistent with successful management.
- Extended follow-up confirms the low recurrence rate for this specific COF presentation.