Solitary central myofibroma of the maxilla: A case report

Authors: 
Rizan Nashef
Yoram Fleissig
Jawad Abu-Tair
Oded Heyman
Victoria Doviner
Journal Name: 
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
Volume: 
26
Issue: 
4
Pages From: 
558
To: 
562
Date: 
Wednesday, October 1, 2014
Abstract: 
Myofibroma is a benign mesenchymal neoplasm manifests as solitary lesion in soft tissue, rarely foundin bone and internal organs. It is sometimes referred as myofibromatosis with appearance of multiplelesions which may involve visceral parts. Myofibroma is mainly diagnosed in infants and it is rarelydevelop in adults. It is asymptomatic curable lesion with clinical presentation of solitary\multiple nod-ules containing spindle cells. The bony lesions within the skull had a lytic or a cystic appearance whichgenerates displacement and mobility of teeth as well as expansion of the mandible and swelling. Thereare few publications regarding the central (bony) type of myofibroma, all suggests solely involvement ofthe mandible, with no evident for maxillae origin. The following report is a unique case of isolated centralmaxillary myofibroma in a 9-year-old Caucasian female. Clinical, radiological and histological findings aswell as deferential diagnosis are discussed.