Dental and Medical Problems
2015, vol. 52, nr 1, January-March, p. 107–111
Publication type: clinical case
Language: English
License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)
Second Report of a Mandibular Desmoplastic Fibroma with Sunray Appearance and Review of Other Imaging Features
Drugi opis włókniaka desmoplastycznego dającego odczyn poświaty słonecznej w żuchwie i przegląd innych cech w obrazie radiologicznym
1 Department of Oral and Maxillofacial Surgery, Dental School, Zahedan University of Medical Sciences, Zahedan, Iran
2 Department of Oral and Maxillofacial Medicine, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Desmoplastic fibroma (DF) is a rare, non-metastasizing, intraosseous benign but locally aggressive tumor of connective tissue origin, which represents only 0.06% of all bony tumors and 0.3% of benign bony tumors. There are no specific radiological features in the diagnosis of desmoplastic fibroma. Unilocular or multilocular radiolucencies with well-defined borders were generally seen, as well as occasional destruction of the mandibular border and root resorption. One of the extremely rare radiographic patterns in desmoplastic fibroma is a sunray appearance (as a periosteal reaction). According to the data available to us, this radiographic pattern of desmoplastic fibroma was first found by Iwai in a 4-year-old girl. The aim of this article was to present the second report of a pediatric mandibular desmoplastic fibroma with sunray appearance. Meanwhile, a review of literature regarding the different imaging features of desmoplastic fibroma is presented. The key message of this case report is that sunray appearance should be considered a radiographic pattern in benign central tumors such as desmoplastic fibroma by clinicians.
Key words
desmoplastic fibroma, mandible, sunray appearance
Słowa kluczowe
włókniak desmoplastyczny, żuchwa, poświata słoneczna
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