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The central odontogenic fibroma and the hyperplastic dental follicle: study with Picrosirius red and polarizing microscopy.

The central odontogenic fibroma (COF) is an uncommon odontogenic tumor in which the microscopic appearance is similar to that of the hyperplastic dental follicle (HDF). Distinction between these lesions is based mainly on their clinical and radiologic features. The collagen of 5 cases of COF and 13 cases of HDF was studied histochemically by staining sections with Picrosirius red and examining them by polarizing microscopy. Polarization colors of the collagen fibers of the lesions were recorded according to their width. While no differences were seen between the polarization colors of thin fibers (<0.8 mm) in both lesions, the polarization colors of thick fibers (1.6-2 mm) of COF were significantly more green and greenish-yellow as compared with those of HDF. These findings suggest that the Picrosirius red polarization method can be used as a diagnostic tool to differentiate between COF and HDF..

Azo Compounds↗

Ameloblastic fibroma and related lesions: a clinicopathologic study with reference to their nature and interrelationship.

BACKGROUND: Ameloblastic fibroma (AF) and related lesions constitute a group of lesions, which range in biologic behavior from true neoplasms to hamartomas. The aim of this study was to elucidate the nature and interrelationship of this group of lesions. METHODS: Clinical and pathological studies were undertaken retrospectively on 13 cases of AF and seven cases of ameloblastic fibro-odontoma (AFO). Thirty-three complex odontomas and 33 compound odontomas were also included for comparative purpose. Relevant follow-up data were recorded and the literature was reviewed. RESULTS: The majority of patients with AF (nine cases, 69.2%) were over the age of 22 years with frequent involvement (76.9%) of the posterior mandible. Tumors recurred in four of 11 patients with follow-up information and two recurrent tumors showed malignant transformation. There was no case in this series that could be designated as the so-called ameloblastic fibrodentinoma, apart from one recurrent AF in which further maturation to form only tubular dentin materials was identified. AFO tended to occur at a younger age group with an average of 9.6 years. Recurrence was noted in two of five patients with follow-up data and both recurrent lesions showed limited growth potential and further maturation into a complex odontoma. Significant differences were noted in the age and site distribution between the complex and the compound odontomas. CONCLUSION: Whilst the majority, if not all, of AFs are true neoplasms with a potential to recur and/or of malignant transformation, some, especially those occurred during childhood, could represent the primitive stage of a developing odontoma. Our data also suggests that some AFOs are hamartomatous in nature, representing a stage preceding the complex odontoma.

Adolescent↗

Mechanism of Shope fibroma virus-induced suppression of host deoxyribonucleic acid synthesis.

The effects of treatment with live or inactivated Shope fibroma virus on host cell deoxyribonucleic acid (DNA) synthesis were determined. The incorporation of (3)H-thymidine into nuclear DNA was suppressed by both active and inactivated virus, although live virus was more effective. During the early phase of infection, stimulation of host nuclear DNA synthesis of up to 240% of control value was observed in cells infected with active virus. Inhibition of DNA synthesis began at about the 8th h and was maximal by 12 h postinfection. Virus inactivated by ultraviolet-irradiation or heat treatment did not induce viral DNA synthesis but was, nevertheless, able to suppress host DNA synthesis.

Animals↗

Composition and size of Shope fibroma virus deoxyribonucleic acid.

Deoxyribonucleic acid (DNA) extracted from purified virions of Shope fibroma virus (SFV) (by using DNA from Microccocus lysodeikticus as marker) had a buoyant density of 1.6996 +/- 0.0003 g/ml), hence a guanine plus cytosine (G + C) content of 40.4 +/- 0.3%, which is close to the G + C content of the DNA of susceptible rabbit cells (40.9 +/- 0.4%) and different from that of vaccinia virus DNA (35.5 +/- 0.4%). For the determination of the molecular weight of DNA, SFV and vaccinia purified virions, treated with Pronase and detergent, were cosedimented in sucrose density gradients. Results showed that SFV-DNA has a molecular weight of about 153 x 10(6) daltons. By electron microscopy, only one molecule corresponding to this value was observed (its length was 80.3 mum). The others had a median size of 49.8 mum +/- 0.9.

Animals↗

Coexistence of multiple perifollicular fibromas and colonic polyp and cancer.

Perifollicular fibroma (PFF) is a rare cutaneous hamartoma that shows differentiation to the connective tissue sheath of the hair follicle. It may be solitary or multiple; the latter has been suggested to exhibit autosomal dominant inheritance and association with colonic polyposis. We report a 72-year-old Japanese female with multiple PFF on the face, possibly familial, who developed colon cancer in addition to colonic polyps.

Adenocarcinoma↗

Chondromyxoid fibroma.

Approximately 2% of chondromyxoid fibromas of bone present in the jaws, preponderantly in the mandible, where they must be distinguished from low-grade chondrosarcomas. A recurrence rate of 25% dictates careful complete removal of this histologically benign lesion.

Chondroma↗

Recurrent chondromyxoid fibroma of the thoracic spine 30 years after primary excision: case report and review of the literature.

We report a case of late recurrence of chondromyxoid fibroma (CMF) arising in a thoracic vertebra in an 11-year-old male. This was treated by curettage, and 30 years later, the patient noticed shoulder pain and leg weakness. A recurrent mass appeared at the same site in the spinous process of T6. The histologic features of the recurrent tumor were similar to those of the primary lesion. A total of 38 cases of CMF of the vertebra have been reported. Only 3 of 38 previously reported vertebral CMF recurred. Tumors recurred 2 years after operation in 2 cases, and 7 years after operation in 1 case.

Adult↗

Ameloblastic fibroma: a case report in a 6 year old.

A six-year-old boy was seen by his dentist for a tumor mass in the left mandibular region. The panograph revealed a multilocular radiotransparent lesion extending from the canine to the left mandibular ascending ramus with well defined borders. After biopsy, the lesion was enucleated via curettage of the bone bed. The lesion was diagnosed as ameloblastic fibroma. After six months, radiographs showed that the surgical defect had filled with new bone.

Biopsy↗

Mandibular cementifying fibroma in relation to a large periodontal bone defect. Report of a case.

A cementifying fibroma associated with a large intraosseous periodontal defect is reported. This tumor was located in the lingual aspect of the first lower left molar. Therapy consisted on flap surgery, tumor excision, and placement of a bone autograft in order to fill the residual bone defect. Six months after the treatment, clinical and radiographic signs of periodontal regeneration were evidenced.

Adult↗

An immunohistochemical study of two cases of either peripheral odontogenic fibroma (WHO type) or peripheral ameloblastoma.

Two cases of either peripheral odontogenic fibroma (POF) (WHO type) or peripheral ameloblastoma are reported. Their immunohistochemical characteristics were investigated in an attempt to clarify their histogenesis. The results showed that the epithelial component of this neoplasm tended to retain its distinct odontogenic character and expressed a keratin profile different from that of the overlying oral epithelium from which both cases most probably originated. The connective tissue element of these tumors was vimentin-positive and S-100 protein negative, confirming their mesodermal nature but precluding the possibility of ectomesenchymal derivation. No reactivity for desmin was noted.

Adult↗

Chondromyxoid fibroma of the foot. A report of a missed diagnosis.

A chondromyxoid fibroma in the calcaneus of an 11-year old girl was primarily diagnosed as a solitary bone cyst. During three years the tumor was curetted three times. Soft-tissue involvement increased with each local recurrence; finally a below knee amputation was necessary.

Bone Neoplasms↗

Cranial chondromyxoid fibroma. Case report.

A case of chondromyxoid fibroma of the frontal bone in a 15-year-old girl is presented. This is a benign tumor, but should be excised widely enough to include a rim of normal bone, otherwise it may recur or even undergo malignant transformation.

Adolescent↗

[Tuberous sclerosis associated with renal angiomyolipoma, pulmonary lymphangioleiomyomatosis and subungual fibroma: report of a case].

We report a case of tuberous sclerosis associated with bilateral renal angiomyolipomas (AMLs), pulmonary lymphangioleiomyomatosis (LAM) and subungual fibroma of hands and feet. A 42-year-old woman who was diagnosed as tuberous sclerosis at the age of 18 complained of left flank pain and abdominal fullness. Bilateral renal AMLs were pointed out when complete examinations were performed for hypertension at the age of 32. She suffered from severe left flank pain and abdominal distension due to the left renal tumor. Left nephrectomy and excision of the renal hilar tumor were performed. The left renal tumor weighed 1120 g, the perirenal space was filled with the tumor. histopathological diagnosis of the left renal tumor and renal hilar tumor was AML. In our case, bilateral pneumothorax appeared, and chest CT scan revealed bilateral multiple pulmonary cysts. Histopathological diagnosis of pulmonary cysts was LAM. Other complications of our case are intracranial calcification and adenoma sebaceum.

Adenoma↗

Chondromyxoid fibroma.

Chondromyxoid fibroma is a rare benign tumor derived from cartilage. The classic site of involvement is usually the metaphyseal ends of the long tubular bones, such as the tibia. The majority of these tumors are seen in the lower extremities during the second and third decades of life. Local recurrence of the tumor in bone is not uncommon, while soft tissue recurrence is less frequent. Most younger patients and those with recurrent tumors tend to have the mucinous type. This case is somewhat classic in nature. The tumor was originally seen in the second decade of life and was of the mucinoid type. Bone grafting was necessary because of the size and location of the tumor.

Adult↗

Chondromyxoid fibroma of the fourth metatarsal.

Chondromyxoid fibroma is a rare benign tumor that is typically found in the metaphyseal ends of long tubular bones, such as the tibia. The authors describe a case of this neoplasm occurring in the foot. Treatment included complete resection with reconstruction using an autogenous fibular bone graft. The surgical technique and the advantages of using a fibular bone graft are discussed.

Adolescent↗