Issue N# 2 - 2011
MAXILLO-FACIAL PAEDIATRICS
Myofibroma of the mandibule: a case report
Authors : Nouri H, Aderdour L, Maliki O, Bassi L, Baallal H, Brahimi M, Belaabidia B, Raji A. (Marrakech)
Ref. : Rev Laryngol Otol Rhinol. 2011;132,2:115-117.
Article published in french 
Downloadable PDF document french
Summary :
Introduction: Myofibromatosis is a rare tumor. Two forms are described, solitary and multicentric, the solitary type is more common and is localized mainly on the head and the neck, mandible involvement is rare. The recent observation of a patient with a myofibrome of the mandible has given the opportunity to conduct an analysis and review of the literature of this disease rarely encountered. Materials and methods: We report a case illustrating solitary myofibroma of the mandible in a 16 year old man. Results: The histological diagnosis was done on the identificationof the spindle-shaped tumoral proliferation and the positive expression of the anti-vimentine, anti-smooth, muscle actin anti desmin. The treatment was surgical. Discussion: myofibromatosis often presents as a painless, well-circumscribed, solid nodule. Imagery is very useful to assess lesion extension and for the therapeutic follow-up. The diagnosis is made on anatomopathological findings and immunohistochemical assessment. The treatment of the solitary myofibromatosis is primarily surgical and its prognosis is excellent contrary to the multicentric form.
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