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]
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.