DESMOPLASTIC FIBROMA DEFINITION
These are benign neoplasms arising from the mesenchymal tissue of the jawbone but are not necessarily related to the teeth
DESMOPLASTIC FIBROMA CLINICAL FEATURE:
- Age: First, second and third decade of life. Older patients are rarely affected.
- Sex: Both sexes are equally affected
DESMOPLASTIC FIBROMA CLINICAL PRESENTATION:
- These intraosseous fibromas are generally asymptomatic neoplasms, however some lesions may produce painless swelling in the jaw.
- Lesions are non-tendered on palpation and moreover percussion of the regional teeth also does not elicit any tenderness
- Long standing lesions may cause expansion or perforation of the cortical palates of jaw bone.
DESMOPLASTIC FIBROMA RADIOGRAPHIC FEATURES:
- Radiographically desmoplastic fibromas reveal unilocular or multilocular, well-defined, radiolucent areas in the bone.
- Expansion, thinning and even perforation of the cortical palates may be seen in some cases
DESMOPLASTIC FIBROMA DIFFERENTIAL DIAGNOSIS:
- Central giant cell granuloma
- Central ossifying fibroma.
DESMOPLASTIC FIBROMA HISTOPATHOLOGICAL FEATURES:
- The neoplasm consist of numerous profile- rating young fibroblasts, which are arranged in a whorled pattern
- The neoplastic cell produce varying amounts of collagen fiber in the tumor.
- The collagen fibers are usually thin and delicate with fasciculation, often these collagen bundles produce a ‘herring-bone’ or ‘chevron’ or ‘storiform’ configuration.
DESMOPLASTIC FIBROMA TREATMENT:
Radical surgery is not indicated for the treatment of desmoplastic fibromas. Local excision and curettage can be enough.