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상악에서 발생한 중심성 치성 섬유종; 증례보고

Case Report of Central Odontogenic Fibroma in the Maxilla

대한구강악안면병리학회지 2020년 44권 5호 p.147 ~ 151
석인영, 박병주, 윤숙자, 김영, 강병철, 이재서,
소속 상세정보
석인영 ( Seok In-Young ) - Chonnam National University School of Dentistry Department of Dental Science
박병주 ( Park Byung-Ju ) - Chonnam National University School of Dentistry Department of Oral Biochemistry
윤숙자 ( Yoon Suk-Ja ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Radiology
김영 ( Kim Young ) - Chonnam National University School of Dentistry Department of Oral Pathology
강병철 ( Kang Byung-Cheol ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Radiology
이재서 ( Lee Jae-Seo ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


Central odontogenic fibroma(COF) is a very rare benign tumor that accounts for 0.1-1.5% of all odontogenic tumors. Most COF develop in the molar-premolar region in the mandible and anterior to the first molar in the maxilla. Radiographically, the lesions appear as a unilocular or multilocular radiolucent image. Some maxillary lesions have cleft like depression in the palatal mucosa are found. This report presents a COF with external root resorption and palatal soft tissue depression on CBCT images. A 27-year-old man referred for evaluation of unilocular radiolucent lesion with external root resorption in the right anterior maxillary region. On clinical examination, the right anterior maxillary teeth responded positive to the cold stimulus and its response to the vitality test remained within the normal range. On radiographic examination, osteolytic lesion with external root resorption and palatal mucosa depression as a radiolucent shadow. After excisional biopsy, the lesion was diagnosed as COF in histopathologic examination. There was no recurrence at a follow-up 10 months.

키워드

Central odontogenic fibroma; Odontogenic tumors; External root resorption

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