Fibroma physical examination: Difference between revisions
Jump to navigation
Jump to search
Simrat Sarai (talk | contribs) |
Simrat Sarai (talk | contribs) No edit summary |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
==Physical Examination== | ==Physical Examination== | ||
==Oral Fibroma== | |||
===HEENT=== | ===HEENT=== | ||
*Oral fibroma appears as a sessile, dome-shaped mass with a smooth surface. | *Oral fibroma appears as a sessile, dome-shaped mass with a smooth surface. | ||
| Line 11: | Line 11: | ||
*If traumatized, ulceration on the surface may be noted. | *If traumatized, ulceration on the surface may be noted. | ||
*Oral fibroma is firm upon palpation and exhibits a well-defined periphery and usually non tender on palpation. | *Oral fibroma is firm upon palpation and exhibits a well-defined periphery and usually non tender on palpation. | ||
==Chondromyxoid Fibroma== | |||
===Extremities=== | ===Extremities=== | ||
The proximal tibia metaphysis is the most common location, followed by the distal femoral metaphysis.<ref name="pmid8590888">{{cite journal| author=Wu KK| title=Chondromyxoid fibroma of the foot bones. | journal=J Foot Ankle Surg | year= 1995 | volume= 34 | issue= 5 | pages= 513-9 | pmid=8590888 | doi=10.1016/S1067-2516(09)80030-6 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8590888 }} </ref> | The proximal tibia metaphysis is the most common location, followed by the distal femoral metaphysis.<ref name="pmid8590888">{{cite journal| author=Wu KK| title=Chondromyxoid fibroma of the foot bones. | journal=J Foot Ankle Surg | year= 1995 | volume= 34 | issue= 5 | pages= 513-9 | pmid=8590888 | doi=10.1016/S1067-2516(09)80030-6 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8590888 }} </ref> | ||
*Patients may have localized tenderness or swelling over a lesion | *Patients may have localized tenderness or swelling over a lesion | ||
*A pathologic fracture may be present | *A pathologic fracture may be present | ||
==Non-ossifying Fibroma== | |||
===Extremities=== | ===Extremities=== | ||
*Large non-ossifying fibromas may cause localized tenderness or swelling over a lesion and/or pathologic fracture in the long bones.<ref name="pmid23008139">{{cite journal| author=Bowers LM, Cohen DM, Bhattacharyya I, Pettigrew JC, Stavropoulos MF| title=The non-ossifying fibroma: a case report and review of the literature. | journal=Head Neck Pathol | year= 2013 | volume= 7 | issue= 2 | pages= 203-10 | pmid=23008139 | doi=10.1007/s12105-012-0399-7 | pmc=PMC3642261 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23008139 }} </ref> | *Large non-ossifying fibromas may cause localized tenderness or swelling over a lesion and/or pathologic fracture in the long bones.<ref name="pmid23008139">{{cite journal| author=Bowers LM, Cohen DM, Bhattacharyya I, Pettigrew JC, Stavropoulos MF| title=The non-ossifying fibroma: a case report and review of the literature. | journal=Head Neck Pathol | year= 2013 | volume= 7 | issue= 2 | pages= 203-10 | pmid=23008139 | doi=10.1007/s12105-012-0399-7 | pmc=PMC3642261 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23008139 }} </ref> | ||
==Desmoplastic Fibroma== | |||
===Extremities=== | ===Extremities=== | ||
*Tenderness over the affected area | *Tenderness over the affected area | ||
Revision as of 20:18, 9 March 2016
|
Fibroma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Fibroma physical examination On the Web |
|
American Roentgen Ray Society Images of Fibroma physical examination |
|
Risk calculators and risk factors for Fibroma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Physical Examination
Oral Fibroma
HEENT
- Oral fibroma appears as a sessile, dome-shaped mass with a smooth surface.
- The size of the lesion may range from 1-2 centimeters in diameter.
- Oral fibroma is usually pale pink in color. Occasionally, the lesion may appear reddish.
- If traumatized, ulceration on the surface may be noted.
- Oral fibroma is firm upon palpation and exhibits a well-defined periphery and usually non tender on palpation.
Chondromyxoid Fibroma
Extremities
The proximal tibia metaphysis is the most common location, followed by the distal femoral metaphysis.[1]
- Patients may have localized tenderness or swelling over a lesion
- A pathologic fracture may be present
Non-ossifying Fibroma
Extremities
- Large non-ossifying fibromas may cause localized tenderness or swelling over a lesion and/or pathologic fracture in the long bones.[2]
Desmoplastic Fibroma
Extremities
- Tenderness over the affected area
- Palpable mass may be present[3]
Ossifying Fibroma
Extremities
- Localized pain or pathological fracture may be present
- Localized firm swelling of the tibia may be present
HEENT
- Intraoral examination may reveal diffuse expansion of jaw, if mandible is involved.
- Swelling in the affected region is the most common clinical sign observed in patients with OF.
- OF of jaw may cause tooth displacement and root resorption in adjacent teeth.[4][5]
References
- ↑ Wu KK (1995). "Chondromyxoid fibroma of the foot bones". J Foot Ankle Surg. 34 (5): 513–9. doi:10.1016/S1067-2516(09)80030-6. PMID 8590888.
- ↑ Bowers LM, Cohen DM, Bhattacharyya I, Pettigrew JC, Stavropoulos MF (2013). "The non-ossifying fibroma: a case report and review of the literature". Head Neck Pathol. 7 (2): 203–10. doi:10.1007/s12105-012-0399-7. PMC 3642261. PMID 23008139.
- ↑ Nedopil A, Raab P, Rudert M (2013). "Desmoplastic fibroma: a case report with three years of clinical and radiographic observation and review of the literature". Open Orthop J. 8: 40–6. doi:10.2174/1874325001307010040. PMC 3583030. PMID 23459513.
- ↑ Kashyap, Roopashri Rajesh; Nair, Gopakumar R.; Gogineni, Subhas Babu (2011). "Asymptomatic Presentation of Aggressive Ossifying Fibroma:A Case Report". Case Reports in Dentistry. 2011: 1–4. doi:10.1155/2011/523751. ISSN 2090-6447.
- ↑ Andrade, Marcia de; Silva-Sousa, Yara Teresinha Correa; Marques, Maria Fernanda Teiga; Pontual, Maria Luiza dos Anjos; Ramos-Perez, Flavia Maria de Moraes; Perez, Danyel Elias da Cruz (2013). "Ossifying Fibroma of the Jaws: A Clinicopathological Case Series Study". Brazilian Dental Journal. 24 (6): 662–666. doi:10.1590/0103-6440201302364. ISSN 0103-6440.