Desmoplastic Fibroma of the Maxilla Report of a Rare Case.docVIP

Case Report Desmoplastic Fibroma of the Maxilla : Report of a Rare Case Kanishka N. Guru, M.K. Gupta, Ajay Pillai, Swapnil Moghe, Mrinal Satpathy Department of Oral Maxillofacial Surgery, People’s Dental Academy, Bhanpur, Bhopal - 462037 (Received August, 2012) (Accepted November, 2012) Abstract: Desmoplastic fibroma (DF) is a rare, benign but locally aggressive, intra-osseous lesion with a high tendency of local recurrence. Arare case of desmoplastic fibroma in the maxillary corpus is being presented with its pathology, clinical diagnostic methods, treatment and prognosis. Key Words: Desmoplastic, Fibroma, Maxilla. Introduction: Desmoplastic fibroma is a benign, locally asymmetry. Patient gave the history of swelling being a pea sized growth since childhood which gradually increased in size with age. The swelling was not associated with any pain or discharge, and the patient was mainly concerned with the distortion of the face caused by the swelling. On inspection, a solitary oval swelling with diffused margins of approximately 5 X 6 cm was seen extending from the right angle of mouth to 1cm lateral to right angle of mandible mesio-distally, and extending from 1cm below the right zygomatic butress till lower border of mandible. On palpation, the swelling was found to be firm in consistency, lobulated, non-tender and fixed to underlying structure with no aggressive, intra-osseous tumor that rarely involves the facial bones. It represents the intra-osseous counterpart of the soft tissue fibromatosis or desmoid tumor. Jaffe Selin in 1951, were the first to use the term desmoplastic fibroma to describe the lesion as a separate fibrous tumor of the bone. The first report about a desmoplastic fibroma of the jaw was presented by Griffith Irby in 1965. Injawarea, non-odontogenic fibromatosis was declared as desmoplastic fibroma which distinguished it from Odontogenic fibroma (Slootweg Muller, 1983; D