Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Surg Proced. Mar 31, 2023; 13(1): 1-6
Published online Mar 31, 2023. doi: 10.5412/wjsp.v13.i1.1
Cemento-ossifying fibroma of the left mandible: A case report
I Nengah Wiadnyana Steven Christian, Michael, Kelvin Setiawan
I Nengah Wiadnyana Steven Christian, Michael, Department of Oncology Surgery, Udayana University, Denpasar 80114, Indonesia
Kelvin Setiawan, Department of General Surgery, Udayana University, Denpasar 80114, Indonesia
Author contributions: Christian INWS and Setiawan K contributed to the conceptualization, design, and manuscript editing; Christian INWS and Michael are the guarantors of this study; All authors contributed to the definition of intellectual content, literature search, and review of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kelvin Setiawan, MD, Doctor, Department of General Surgery, Udayana University, Jl. Diponegoro, Dauh Puri Klod, Denpasar 80114, Indonesia. kelvin.setiawan.a@gmail.com
Received: November 25, 2022
Peer-review started: November 25, 2022
First decision: January 17, 2023
Revised: February 16, 2023
Accepted: March 17, 2023
Article in press: March 17, 2023
Published online: March 31, 2023
Processing time: 125 Days and 11.4 Hours
Abstract
BACKGROUND

Ossifying fibroma is a type of benign fibro-osseous lesion. Most lesions affect the mandible region, particularly the molar and pre-molar areas. It predominantly affects females between the second to fourth decades of life. Larger ossifying fibroma tumors require more extensive resection.

CASE SUMMARY

A 39-year-old female complained of occasional pain and tumor enlargement on her left jaw for the 3 years prior to presentation. Intraoral examination revealed a firm swelling on her left lower gum. Extraoral examination revealed swelling on the left mandible body with no erythema and superficial ulcer. Computed tomography scan revealed a circular-shaped lesion on the patient’s left mandible body with a well-defined radiolucent border, sized 3.2 cm × 2.8 cm × 0.9 cm. The tumor was removed by marginal mandibulectomy. Biopsy from the resected tumor suggested cemento-ossifying fibroma (COF).

CONCLUSION

COF is often unnoticed, but this slow-growing tumor can cause significant symptoms regarding its distortion into adjacent structures.

Keywords: Cemento-ossifying fibroma, Ossifying fibroma, Mandible, Marginal mandibulectomy, Biopsy, Case report

Core Tip: Ossifying fibroma is a benign fibro-osseous lesion that predominantly affects the craniofacial region. It is considered a rare tumor, with most lesions affecting the mandible region, particularly the molar and pre-molar areas. It is asymptomatic in most cases, but it can slowly grow until it is involved with the adjacent structures, leading to symptoms. The treatment is surgical excision, and it can be safely performed due to its well-demarcated nature. Recurrences can be avoided by extensive removal of the tumor. This case highlighted a case of a rare tumor with surgical excision and a good outcome.