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Erschienen in: Head and Neck Pathology 3/2008

01.09.2008 | Case Report

Hybrid Central Odontogenic Fibroma with Giant Cell Granuloma-like Component: Case Report and Review of Literature

verfasst von: Rania H. Younis, Mark A. Scheper, C. C. Lindquist, Bernard Levy

Erschienen in: Head and Neck Pathology | Ausgabe 3/2008

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Abstract

Central odontogenic fibroma (COF) is a rare benign ectomesenchymal tumor of the jaws. Only 12 cases of COF with giant cell granuloma (GCG)-like lesion have been reported in the English literature. Here, we present a new case of COF epithelium rich type with a GCG-like component. Radiographically, this lesion presented as a well defined unilocular radiolucency in the body of the mandible. Histologically, the lesion showed a unique confluence of odontogenic epithelial rests with multinucleated giant cells (MNGCs) in a highly cellular fibrous connective tissue stroma, with osteoid and cementoid deposits. A distinct area showed the typical histological picture of each component separately. Immunohistochemical staining with pancytokeratin (CK) highlighted the odontogenic epithelial component merging with the GCG component throughout most of the lesion. The significance of GCG-like areas within COF is the reported increased risk of recurrence following curettage, possibly necessitating more aggressive therapy.
Literatur
1.
Zurück zum Zitat Barnes EL, Eveson JW, Reichart P, Sidransky D, editors. Pathology and genetics of head and neck tumors. Philipsen HP, Reichart PA, Sciubba JJ, Van der Waal I, series editors. Odontogenic tumors World Health Organization classification of tumors. Lyon, France: IARC Press, 2005. p. 315. Barnes EL, Eveson JW, Reichart P, Sidransky D, editors. Pathology and genetics of head and neck tumors. Philipsen HP, Reichart PA, Sciubba JJ, Van der Waal I, series editors. Odontogenic tumors World Health Organization classification of tumors. Lyon, France: IARC Press, 2005. p. 315.
2.
Zurück zum Zitat Neville BW, Damm DD, Allen CM, Bouquot JE, editors. Oral and maxillofacial pathology. Philadelphia: Saunders: 2002. p. 633–4. Neville BW, Damm DD, Allen CM, Bouquot JE, editors. Oral and maxillofacial pathology. Philadelphia: Saunders: 2002. p. 633–4.
3.
Zurück zum Zitat Kim J, Ellis GL. Dental follicular tissue misinterpretation as odontogenic tumors. J Oral Maxillofac Surg. 1993;51:762–7.PubMedCrossRef Kim J, Ellis GL. Dental follicular tissue misinterpretation as odontogenic tumors. J Oral Maxillofac Surg. 1993;51:762–7.PubMedCrossRef
4.
Zurück zum Zitat Brannon RB. Central odontogenic fibroma, myxoma (odontogenic myxoma, fibromyxoma), and central odontogenic granular cell tumor. Oral Maxillofac Surg Clin North Am. 2004;16:359–74.PubMedCrossRef Brannon RB. Central odontogenic fibroma, myxoma (odontogenic myxoma, fibromyxoma), and central odontogenic granular cell tumor. Oral Maxillofac Surg Clin North Am. 2004;16:359–74.PubMedCrossRef
5.
Zurück zum Zitat Wesley RK, Wysocki GP, Mintz SM. The central odontogenic fibroma. Clinical and morphologic studies. Oral Surg Oral Med Oral Pathol. 1975;40:235–45.CrossRef Wesley RK, Wysocki GP, Mintz SM. The central odontogenic fibroma. Clinical and morphologic studies. Oral Surg Oral Med Oral Pathol. 1975;40:235–45.CrossRef
6.
Zurück zum Zitat Shafer WG, Hine MK, Levy BM, editors. A text book of oral pathology. Philadelphia: Saunders: 1983. p. 294–5. Shafer WG, Hine MK, Levy BM, editors. A text book of oral pathology. Philadelphia: Saunders: 1983. p. 294–5.
7.
Zurück zum Zitat Gardner DG. The central odontogenic fibroma: an attempt at clarification. Oral Surg Oral Med Oral Pathol. 1980;50:425–32.PubMedCrossRef Gardner DG. The central odontogenic fibroma: an attempt at clarification. Oral Surg Oral Med Oral Pathol. 1980;50:425–32.PubMedCrossRef
8.
Zurück zum Zitat Kramer IRH, Pindborg JJ, Shear M, editors. Histological typing of odontogenic tumors: international histological classification of tumors World Health Organization. Berlin: Springer-Verlag: 1992. p. 22. Kramer IRH, Pindborg JJ, Shear M, editors. Histological typing of odontogenic tumors: international histological classification of tumors World Health Organization. Berlin: Springer-Verlag: 1992. p. 22.
9.
Zurück zum Zitat Dunlap CL, Barker BF. Central odontogenic fibroma of the WHO type. Oral Surg Oral Med Oral Pathol. 1984;57:390–4.PubMedCrossRef Dunlap CL, Barker BF. Central odontogenic fibroma of the WHO type. Oral Surg Oral Med Oral Pathol. 1984;57:390–4.PubMedCrossRef
10.
Zurück zum Zitat Gardner DG. Central odontogenic fibroma current concepts. J Oral Pathol Med. 1996;25(10):556–61.PubMedCrossRef Gardner DG. Central odontogenic fibroma current concepts. J Oral Pathol Med. 1996;25(10):556–61.PubMedCrossRef
11.
Zurück zum Zitat Regezi JA, Scuibba JJ, Jordan RCK, editors. Oral pathology: clinical pathologic correlations. Missouri: Saunders: 2003. p. 280–1. Regezi JA, Scuibba JJ, Jordan RCK, editors. Oral pathology: clinical pathologic correlations. Missouri: Saunders: 2003. p. 280–1.
12.
Zurück zum Zitat Ramer M, Buonocore P, Krost B. Central odontogenic fibroma. Report of a case and review of literature. Periodontal clin investing. 2002;24:27–30. Ramer M, Buonocore P, Krost B. Central odontogenic fibroma. Report of a case and review of literature. Periodontal clin investing. 2002;24:27–30.
13.
Zurück zum Zitat Drebber U, Scheer M, Zöller JE, et al. The central odontogenic fibroma a rare tumor. Pathologe. 2003;24:136–40.PubMed Drebber U, Scheer M, Zöller JE, et al. The central odontogenic fibroma a rare tumor. Pathologe. 2003;24:136–40.PubMed
14.
Zurück zum Zitat Daniels JS. Central odontogenic fibroma of mandible a case report and review of the literature. Oral Surg Oral Med Oral Pathol. 2004;98:295–300. Daniels JS. Central odontogenic fibroma of mandible a case report and review of the literature. Oral Surg Oral Med Oral Pathol. 2004;98:295–300.
15.
Zurück zum Zitat Covani U, Crespi R, Perrini N, et al. Central odontogenic fibroma: a case report. Med Oral Patol Oral Cir Bucal. 2005.10 Suppl2:E154–7. Covani U, Crespi R, Perrini N, et al. Central odontogenic fibroma: a case report. Med Oral Patol Oral Cir Bucal. 2005.10 Suppl2:E154–7.
16.
Zurück zum Zitat Ikeshima A, Utsunomiya T. Case report of intraosseous fibroma: a study on odontogenic and desmoplastic fibromas with a review of the literature. J oral Sci. 2005;47:149–57.PubMedCrossRef Ikeshima A, Utsunomiya T. Case report of intraosseous fibroma: a study on odontogenic and desmoplastic fibromas with a review of the literature. J oral Sci. 2005;47:149–57.PubMedCrossRef
17.
Zurück zum Zitat Cicconetti A, Bartoli A, Tallarico M, et al. Central odontogenic fibroma interesting the maxillary sinus a case report and literature survey. Minerva Stomatol. 2006;55:229–39.PubMed Cicconetti A, Bartoli A, Tallarico M, et al. Central odontogenic fibroma interesting the maxillary sinus a case report and literature survey. Minerva Stomatol. 2006;55:229–39.PubMed
18.
Zurück zum Zitat Cercadillo-Ibarguren I, Berini-Aytés L, Marco-Molina V, et al. Locally aggressive central odontogenic fibroma associated to an inflammatory cyst: a clinical, histological and immunohistochemical study. J Oral Pathol Med. 2006;35:513–6.PubMedCrossRef Cercadillo-Ibarguren I, Berini-Aytés L, Marco-Molina V, et al. Locally aggressive central odontogenic fibroma associated to an inflammatory cyst: a clinical, histological and immunohistochemical study. J Oral Pathol Med. 2006;35:513–6.PubMedCrossRef
19.
Zurück zum Zitat Buchner A, Merrell PW, Carpenter WM. Relative frequency of central odontogenic tumors: a study of 1, 088 cases from northern California and comparison to studies from other parts of the world. J Oral Maxillofac Surg. 2006;64:1343–52.PubMedCrossRef Buchner A, Merrell PW, Carpenter WM. Relative frequency of central odontogenic tumors: a study of 1, 088 cases from northern California and comparison to studies from other parts of the world. J Oral Maxillofac Surg. 2006;64:1343–52.PubMedCrossRef
20.
Zurück zum Zitat Silva CO, Sallum AW, do Couto-Filho CE, et al. Localized gingival enlargement associated with alveolar process expansion: peripheral ossifying fibroma coincident with central odontogenic fibroma. J Periodontol. 2007;78:1354–59.PubMedCrossRef Silva CO, Sallum AW, do Couto-Filho CE, et al. Localized gingival enlargement associated with alveolar process expansion: peripheral ossifying fibroma coincident with central odontogenic fibroma. J Periodontol. 2007;78:1354–59.PubMedCrossRef
21.
Zurück zum Zitat Kaffe I, Buchner A. Radiologic features of central odontogenic fibroma. Oral Surg Oral Med Oral Pathol. 1994;78:811–8.PubMedCrossRef Kaffe I, Buchner A. Radiologic features of central odontogenic fibroma. Oral Surg Oral Med Oral Pathol. 1994;78:811–8.PubMedCrossRef
22.
Zurück zum Zitat Allen CM, Hammond HL, Stimson PG. Central odontogenic fibroma, WHO type. A report of three cases with an unusual associated giant cell reaction. Oral Surg Oral Med Oral Pathol. 1992;73:62–6.PubMedCrossRef Allen CM, Hammond HL, Stimson PG. Central odontogenic fibroma, WHO type. A report of three cases with an unusual associated giant cell reaction. Oral Surg Oral Med Oral Pathol. 1992;73:62–6.PubMedCrossRef
23.
Zurück zum Zitat Odell EW, Lombardi T, Barrett AW, et al. Hybrid central giant cell granuloma and central odontogenic fibroma-like lesions of the jaws. Histopathology. 1997;30:165–71.PubMedCrossRef Odell EW, Lombardi T, Barrett AW, et al. Hybrid central giant cell granuloma and central odontogenic fibroma-like lesions of the jaws. Histopathology. 1997;30:165–71.PubMedCrossRef
24.
Zurück zum Zitat Mosqueda TA, Bermúdez FV, Díaz Franco MA. Combined central odontogenic fibroma and giant cell granuloma-like lesion of the mandible: report of a case and review of the literature. J Oral Maxillofac Surg. 1999;57:1258–62.CrossRef Mosqueda TA, Bermúdez FV, Díaz Franco MA. Combined central odontogenic fibroma and giant cell granuloma-like lesion of the mandible: report of a case and review of the literature. J Oral Maxillofac Surg. 1999;57:1258–62.CrossRef
25.
Zurück zum Zitat Calvo N, Alonso D, Prieto M, et al. Central odontogenic fibroma granular cell variant: a case report and review of the literature. J Oral Maxillofac Surg. 2002;60:1192–4.PubMedCrossRef Calvo N, Alonso D, Prieto M, et al. Central odontogenic fibroma granular cell variant: a case report and review of the literature. J Oral Maxillofac Surg. 2002;60:1192–4.PubMedCrossRef
26.
Zurück zum Zitat Günhan O, Gürbüzer B, Gardner DG, et al. A central odontogenic fibroma exhibiting pleomorphic fibroblasts and numerous calcifications. Br J Oral Maxillofac Surg. 1991;29:42–3.PubMedCrossRef Günhan O, Gürbüzer B, Gardner DG, et al. A central odontogenic fibroma exhibiting pleomorphic fibroblasts and numerous calcifications. Br J Oral Maxillofac Surg. 1991;29:42–3.PubMedCrossRef
27.
Zurück zum Zitat Dunlap CL. Odontogenic fibroma. Semin Diagn Pathol. 1999;16(4):293–6.PubMed Dunlap CL. Odontogenic fibroma. Semin Diagn Pathol. 1999;16(4):293–6.PubMed
28.
Zurück zum Zitat Handlers JP, Abrams AM, Melrose RJ, et al. Central odontogenic fibroma: clinicopathologic features of 19 cases and review of the literature. J Oral Maxillofac Surg. 1991;49:46–54.PubMedCrossRef Handlers JP, Abrams AM, Melrose RJ, et al. Central odontogenic fibroma: clinicopathologic features of 19 cases and review of the literature. J Oral Maxillofac Surg. 1991;49:46–54.PubMedCrossRef
29.
Zurück zum Zitat Heimdal A, Isacsson G, Nilsson L. Recurrent central odontogenic fibroma. Oral Surg Oral Med Oral Pathol. 1980;50:140–5.PubMedCrossRef Heimdal A, Isacsson G, Nilsson L. Recurrent central odontogenic fibroma. Oral Surg Oral Med Oral Pathol. 1980;50:140–5.PubMedCrossRef
30.
Zurück zum Zitat Kaffe I, Ardekian L, Taicher S, et al. Radiologic features of central giant cell granuloma of the jaws. Oral Surg Oral Med Oral Pathol. 1996;81:720–6. Kaffe I, Ardekian L, Taicher S, et al. Radiologic features of central giant cell granuloma of the jaws. Oral Surg Oral Med Oral Pathol. 1996;81:720–6.
31.
Zurück zum Zitat Bataineh AB, Al-Khateeb T, Rawashdeh MA. The surgical treatment of central giant cell granuloma of the mandible. J Oral Maxillofac Surg. 2002;60:756–61.PubMedCrossRef Bataineh AB, Al-Khateeb T, Rawashdeh MA. The surgical treatment of central giant cell granuloma of the mandible. J Oral Maxillofac Surg. 2002;60:756–61.PubMedCrossRef
32.
Zurück zum Zitat Rawashdeh MA, Bataineh AB, Al-Khateeb T. Long-term clinical and radiological outcomes of surgical management of central giant cell granuloma of the maxilla. Int J Oral Maxillofac Surg. 2006;35:60–6.PubMedCrossRef Rawashdeh MA, Bataineh AB, Al-Khateeb T. Long-term clinical and radiological outcomes of surgical management of central giant cell granuloma of the maxilla. Int J Oral Maxillofac Surg. 2006;35:60–6.PubMedCrossRef
33.
Zurück zum Zitat Regezi JA. Odontogenic cysts, odontogenic tumors, fibroosseous, and giant cell lesions of the jaws. Mod Pathol. 2002;15:331–41.PubMedCrossRef Regezi JA. Odontogenic cysts, odontogenic tumors, fibroosseous, and giant cell lesions of the jaws. Mod Pathol. 2002;15:331–41.PubMedCrossRef
34.
Zurück zum Zitat Sciubba JJ, Fantasia JE, Kahn LB, editors. Atlas of tumor pathology: tumors and cysts of the jaw. Washington, DC: Armed Forces Institute of Pathology: 2001. p. 161–6. Sciubba JJ, Fantasia JE, Kahn LB, editors. Atlas of tumor pathology: tumors and cysts of the jaw. Washington, DC: Armed Forces Institute of Pathology: 2001. p. 161–6.
35.
Zurück zum Zitat Ide F, Sakashita H, Kusama K. Ameloblastomatoid, central odontogenic fibroma: an epithelium-rich variant. J Oral Pathol Med. 2002;31(10):612–4.PubMedCrossRef Ide F, Sakashita H, Kusama K. Ameloblastomatoid, central odontogenic fibroma: an epithelium-rich variant. J Oral Pathol Med. 2002;31(10):612–4.PubMedCrossRef
36.
Zurück zum Zitat Wolvius EB, De Lange J, Smeets EE, et al. Noonan-like/multiple giant cell lesion syndrome. Report of a case and review of the literature. J oral maxillofac surg. 2006;64:1289–92.PubMedCrossRef Wolvius EB, De Lange J, Smeets EE, et al. Noonan-like/multiple giant cell lesion syndrome. Report of a case and review of the literature. J oral maxillofac surg. 2006;64:1289–92.PubMedCrossRef
37.
Zurück zum Zitat Stypulkowska J. Odontogenic tumors and neoplastic-like changes of the jaw bone. Clinical study and evalutation of treatment results. Folia Med Cracov. 1998;39(1–2):35–141.PubMed Stypulkowska J. Odontogenic tumors and neoplastic-like changes of the jaw bone. Clinical study and evalutation of treatment results. Folia Med Cracov. 1998;39(1–2):35–141.PubMed
38.
Zurück zum Zitat Ficarra G, Sapp JP, Eversole LR. Multiple peripheral odontogenic fibroma, World Health Organization type, and central giant cell granuloma: a case report of an unusual association. J Oral Maxillofac Surg. 1993;51:325–8.PubMedCrossRef Ficarra G, Sapp JP, Eversole LR. Multiple peripheral odontogenic fibroma, World Health Organization type, and central giant cell granuloma: a case report of an unusual association. J Oral Maxillofac Surg. 1993;51:325–8.PubMedCrossRef
39.
Zurück zum Zitat Larbcharoensub N, Pongtippan A, Tuntiyatorn L, et al. Giant cell reparative granuloma concurrent with squamous cell carcinoma of the temporal bone: a case report and review of the literature. J Med Assoc Thai. 2007;90:369–75.PubMed Larbcharoensub N, Pongtippan A, Tuntiyatorn L, et al. Giant cell reparative granuloma concurrent with squamous cell carcinoma of the temporal bone: a case report and review of the literature. J Med Assoc Thai. 2007;90:369–75.PubMed
40.
Zurück zum Zitat Sciubba JJ, Fantasia JE, Kahn LB, editors. Atlas of tumor pathology: tumors and cysts of the jaw. Washington DC: Armed Forces Institute of Pathology: 2001. p. 170–3. Sciubba JJ, Fantasia JE, Kahn LB, editors. Atlas of tumor pathology: tumors and cysts of the jaw. Washington DC: Armed Forces Institute of Pathology: 2001. p. 170–3.
41.
Zurück zum Zitat Sholapurkar AA, Pai KM, Ahsan A. Central giant cell granuloma of the anterior maxilla. Indian J Dent Res. 2008;19:78–82.PubMedCrossRef Sholapurkar AA, Pai KM, Ahsan A. Central giant cell granuloma of the anterior maxilla. Indian J Dent Res. 2008;19:78–82.PubMedCrossRef
Metadaten
Titel
Hybrid Central Odontogenic Fibroma with Giant Cell Granuloma-like Component: Case Report and Review of Literature
verfasst von
Rania H. Younis
Mark A. Scheper
C. C. Lindquist
Bernard Levy
Publikationsdatum
01.09.2008
Verlag
Humana Press Inc
Erschienen in
Head and Neck Pathology / Ausgabe 3/2008
Elektronische ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-008-0063-4

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