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Aggressive Fibromatosis in the Mandible of a Child: A Rare Case Report

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Aggressive fibromatosis (AF) is an uncommon, benign, collagen-forming soft tissue neoplasm that is characterized by monoclonal myofibroblast cell proliferation and derived from musculoaponeurotic structures. It has a locally invasive pathological behavior and a high potential for recurrence. Fibromatoses with onset in infancy and childhood are characterized with higher cellularity and more aggressive growth. The mainstream management of AF is surgical removal with microscopically lesion-free margins. In advanced cases, radical surgery can lead to function loss and disfigurement. Hence, early diagnosis and management can avoid complications. Although uncommon (two to four cases per million per year are reported), approximately 25 percent of AF incidents occur in children younger than 15 years of age. Pediatric dentists are likely to be the first practitioners to encounter new cases of AF in younger populations and should have knowledge and understanding of this entity. The purpose of this report is to present a rare case of AF affecting the mandible of a young patient.
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Keywords: AGGRESSIVE FIBROMATOSIS; DESMOID FIBROMATOSIS; DESMOID TUMOR; DESMOID-TYPE FIBROMATOSIS; DESMOPLASTIC FIBROMA

Document Type: Case Report

Affiliations: 1: Dr. Dinkova is an assistant professor, Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria 2: Dr. Atanasov is a professor and head, Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria 3: Dr. Kratunova is a clinical assistant professor, Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill., USA;, Email: [email protected] 4: Dr. Kuzmanov is an assistant professor, Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria 5: Dr. Kanazirska is an assistant professor, Department of Imaging Diagnostics, Dental Allergology and Physiotherapy, Medical University of Plovdiv, Plovdiv, Bulgaria

Publication date: May 1, 2019

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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