PDF(Pubmed)
Abstract：
Desmoplastic fibroma (DF) is an uncommon bone tumor that originates from the mesenchymal tissue and despite being benign, exhibits aggressive behavior locally. The following report describes the case of a 7-year-old boy with a rapidly enlarging swelling on the right side of the mandible. After a thorough clinical examination, radiographic imaging, and histopathological analysis, the diagnosis of DF was confirmed. Treatment planning was formulated considering both the tumor\'s tendency for local recurrence and the patient\'s well-being. Due to the patient\'s young age, segmental resection was not deemed appropriate, and an aggressive curettage and enucleation of the lesion followed by the bone graft was performed instead. The patient was kept under close follow-up for the first month of post-surgery and later reviewed after 3, 6, 9, and 12 months, respectively. Good bone healing was observed on radiographs. The patient did not show any signs of recurrence based on clinical or radiographic assessments and did not exhibit any neurosensory deficits as well.
摘要：
纤维增生性纤维瘤（DF）是一种罕见的骨肿瘤，起源于间充质组织，尽管是良性的，在当地表现出攻击性行为。以下报告描述了一个7岁男孩的情况，该男孩的下颌骨右侧肿胀迅速扩大。经过全面的临床检查,射线成像，和组织病理学分析，确诊为DF。考虑到肿瘤局部复发的倾向和患者的健康状况，制定治疗计划。由于病人年龄小,段切除被认为是不合适的，并进行了积极的刮除和病灶摘除，然后进行骨移植。患者在术后第一个月接受密切随访，随后在3、6、9和12个月后进行复查。分别。在X光片上观察到良好的骨愈合。根据临床或影像学评估，患者未显示任何复发迹象，也未表现出任何神经感觉缺陷。
