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[Pediatric mandibular myofibromatosis].

I Chtourou¹, S Krichen Makni, M Dhouib

¹Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib-Bourguiba, 3029 Sfax, Tunisie.

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale

|July 17, 2007

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Pediatric myofibromatosis, a rare tumor, can affect the jaw in children. Surgical treatment for the solitary form offers an excellent prognosis with no relapse observed in this case.

Area of Science:

Pediatric Oncology
Oral Pathology

Background:

Pediatric myofibromatosis is a rare tumor affecting neonates and children, with solitary and multicentric forms.
The solitary type is more common, typically affecting the head and neck, with rare instances of mandible involvement.

Observation:

A 10-year-old girl presented with a 5 cm, gradually growing gingival swelling on the lower left jaw.
Imaging revealed a benign-appearing but locally aggressive osteolytic tumor fused with the mandibular bone.

Findings:

Conservative surgery was performed, and the diagnosis of pediatric myofibromatosis was confirmed via anatomopathological and immunohistochemical assessment.
Post-operative follow-up for three years showed no evidence of tumor relapse.

Implications:

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Pediatric myofibromatosis often presents as a painless nodule; imaging is crucial for assessing extension and guiding follow-up.
Surgical management is the primary treatment for solitary myofibromatosis, yielding excellent outcomes, unlike the multicentric form.