Fibroma physical examination: Difference between revisions
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*OF of jaw may cause tooth displacement and root resorption in adjacent teeth.<ref name="KashyapNair2011">{{cite journal|last1=Kashyap|first1=Roopashri Rajesh|last2=Nair|first2=Gopakumar R.|last3=Gogineni|first3=Subhas Babu|title=Asymptomatic Presentation of Aggressive Ossifying Fibroma:A Case Report|journal=Case Reports in Dentistry|volume=2011|year=2011|pages=1–4|issn=2090-6447|doi=10.1155/2011/523751}}</ref><ref name="AndradeSilva-Sousa2013">{{cite journal|last1=Andrade|first1=Marcia de|last2=Silva-Sousa|first2=Yara Teresinha Correa|last3=Marques|first3=Maria Fernanda Teiga|last4=Pontual|first4=Maria Luiza dos Anjos|last5=Ramos-Perez|first5=Flavia Maria de Moraes|last6=Perez|first6=Danyel Elias da Cruz|title=Ossifying Fibroma of the Jaws: A Clinicopathological Case Series Study|journal=Brazilian Dental Journal|volume=24|issue=6|year=2013|pages=662–666|issn=0103-6440|doi=10.1590/0103-6440201302364}}</ref> | *OF of jaw may cause tooth displacement and root resorption in adjacent teeth.<ref name="KashyapNair2011">{{cite journal|last1=Kashyap|first1=Roopashri Rajesh|last2=Nair|first2=Gopakumar R.|last3=Gogineni|first3=Subhas Babu|title=Asymptomatic Presentation of Aggressive Ossifying Fibroma:A Case Report|journal=Case Reports in Dentistry|volume=2011|year=2011|pages=1–4|issn=2090-6447|doi=10.1155/2011/523751}}</ref><ref name="AndradeSilva-Sousa2013">{{cite journal|last1=Andrade|first1=Marcia de|last2=Silva-Sousa|first2=Yara Teresinha Correa|last3=Marques|first3=Maria Fernanda Teiga|last4=Pontual|first4=Maria Luiza dos Anjos|last5=Ramos-Perez|first5=Flavia Maria de Moraes|last6=Perez|first6=Danyel Elias da Cruz|title=Ossifying Fibroma of the Jaws: A Clinicopathological Case Series Study|journal=Brazilian Dental Journal|volume=24|issue=6|year=2013|pages=662–666|issn=0103-6440|doi=10.1590/0103-6440201302364}}</ref> | ||
===Cemento-ossifying fibroma=== | ===Cemento-ossifying fibroma=== | ||
===Appearance of the patient=== | |||
*Extraorally, lesion presented as fullness with ill-defined borders on right lower 2/3rd of the face.<ref name="KashyapNair2011">{{cite journal|last1=Kashyap|first1=Roopashri Rajesh|last2=Nair|first2=Gopakumar R.|last3=Gogineni|first3=Subhas Babu|title=Asymptomatic Presentation of Aggressive Ossifying Fibroma:A Case Report|journal=Case Reports in Dentistry|volume=2011|year=2011|pages=1–4|issn=2090-6447|doi=10.1155/2011/523751}}</ref> | |||
===HEENT=== | |||
*A sessile or pedunculated mass may be present on intraoral examination | |||
*Mass may be ulcerated and generally has a diameter of less than 2 cm. | |||
*Intraoral examination may reveal diffuse expansion of jaw on right maxillary posterior area, extending anteroposteriorly from distal of upper right second premolar to tuberosity region. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 04:05, 10 March 2016
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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]
Cemento-ossifying fibroma
Appearance of the patient
- Extraorally, lesion presented as fullness with ill-defined borders on right lower 2/3rd of the face.[4]
HEENT
- A sessile or pedunculated mass may be present on intraoral examination
- Mass may be ulcerated and generally has a diameter of less than 2 cm.
- Intraoral examination may reveal diffuse expansion of jaw on right maxillary posterior area, extending anteroposteriorly from distal of upper right second premolar to tuberosity region.
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.
- ↑ 4.0 4.1 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.