Abstract：
UNASSIGNED: Cemento ossifying fibroma (COF) is an encapsulated lesion that is often found in the mandible of middle-aged females. Cystic degeneration may be associated to several osseous lesion. This particular presentation is not well documented in the jaws.
METHODS: Patient presented was referred to oral surgery department for abnormal radiolucency in the right mandible on panoramic X-ray. The patient did not have any specific medical history and reported painful areas in right mandibular region. During diagnosis assessment, ameloblastoma was first considered due to the presence of cystic lesion clusters. But the mixed image in previous X-ray pointed to a fibro-osseous with a change in pathogenesis pathway. Diagnosis buildup was based on previous radiographs, incisional biopsy was proposed to identify the histopathological feature of the lesion before proceeding to further investigation (CBCT) or treatments (decompression or enucleation). COF of the jaws associated to non-specific cystic changes was the histopathological diagnosis. Delay in treatment showed an unexpected outcome with good clinical and bone healing.
UNASSIGNED: This case shows the importance of previous radiographs, when available, in diagnosis buildup. The fibro-osseous lesion with cystic change may show a good biological response with conservative management. A clinical and radiological surveillance after a conservative treatment may be a better option in treatment of these lesions.
METHODS: Patient presented was referred to oral surgery department for abnormal radiolucency in the right mandible on panoramic X-ray. The patient did not have any specific medical history and reported painful areas in right mandibular region. During diagnosis assessment, ameloblastoma was first considered due to the presence of cystic lesion clusters. But the mixed image in previous X-ray pointed to a fibro-osseous with a change in pathogenesis pathway. Diagnosis buildup was based on previous radiographs, incisional biopsy was proposed to identify the histopathological feature of the lesion before proceeding to further investigation (CBCT) or treatments (decompression or enucleation). COF of the jaws associated to non-specific cystic changes was the histopathological diagnosis. Delay in treatment showed an unexpected outcome with good clinical and bone healing.
UNASSIGNED: This case shows the importance of previous radiographs, when available, in diagnosis buildup. The fibro-osseous lesion with cystic change may show a good biological response with conservative management. A clinical and radiological surveillance after a conservative treatment may be a better option in treatment of these lesions.
摘要：
■Cemento骨化纤维瘤（COF）是一种包膜病变，常见于中年女性的下颌骨。囊性变性可能与几种骨性病变有关。这种特殊的表现在钳口中没有很好的记载。
方法：患者因全景X线检查右侧下颌骨的放射不透性异常而被转诊至口腔外科。患者没有任何特定病史，并报告右下颌区域疼痛区域。在诊断评估期间，首先考虑成釉细胞瘤是由于囊性病变簇的存在。但是先前X射线中的混合图像指出了一个纤维骨，其发病途径发生了变化。诊断是基于以前的X光片，在进行进一步检查（CBCT）或治疗（减压或摘除术）之前，建议进行切开活检以确定病变的组织病理学特征。与非特异性囊性改变相关的颌骨的COF是组织病理学诊断。治疗延迟显示出意想不到的结果，具有良好的临床和骨愈合。
■这种情况表明了以前的射线照片的重要性，当可用时,在诊断积累中。具有囊性改变的纤维骨性病变通过保守治疗可能显示出良好的生物学反应。保守治疗后的临床和放射学监测可能是治疗这些病变的更好选择。
方法：患者因全景X线检查右侧下颌骨的放射不透性异常而被转诊至口腔外科。患者没有任何特定病史，并报告右下颌区域疼痛区域。在诊断评估期间，首先考虑成釉细胞瘤是由于囊性病变簇的存在。但是先前X射线中的混合图像指出了一个纤维骨，其发病途径发生了变化。诊断是基于以前的X光片，在进行进一步检查（CBCT）或治疗（减压或摘除术）之前，建议进行切开活检以确定病变的组织病理学特征。与非特异性囊性改变相关的颌骨的COF是组织病理学诊断。治疗延迟显示出意想不到的结果，具有良好的临床和骨愈合。
■这种情况表明了以前的射线照片的重要性，当可用时,在诊断积累中。具有囊性改变的纤维骨性病变通过保守治疗可能显示出良好的生物学反应。保守治疗后的临床和放射学监测可能是治疗这些病变的更好选择。
