Fibroma physical examination
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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
Central cemento-ossifying fibromas are typically well-circumscribed, solitary radiolucencies with scattered radiopaque foci. They maintain a round shape, expand the surrounding cortical bone with no cortical violation, and may cause tooth divergence. The expanded tumors may involve the nasal septum, infraorbital foramen, and orbital floor. A peripheral cemento-ossifying fibroma manifests as a sessile or pedunculated mass, which is often ulcerated and generally has a diameter of less than 2 cm as shown below.Intraoral examination revealed diffuse expansion of jaw on right maxillary posterior area, extending anteroposteriorly from distal of upper right second premolar to tuberosity region, measuring approximately 2.5 cm in size. Buccally, the ill-defined enlargement involved only the basal bone, causing partial obliteration of the buccal vestibule.
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.