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- W2016667054 abstract "Central odontogenic myxomas are uncommon odontogenic mesenchymal neoplasms associated with a significant recurrence rate. These neoplasms may present in a peripheral location either primarily or by secondary extension of a primary central lesion. We report a case of a primary peripheral odontogenic myxoma, without evidence of bone involvement. A 41-year-old female presented with a painless mass of the right anterior mandible that had been slowly enlarging over a period of 3 years. The firm, pink, bosselated, smooth-surfaced, 2 cm mass arose from a broad base on the facial gingival mucosa of the mandibular right canine, displacing it 0.75 cm to the lingual. The lesion extended distally over the facial surface of tooth #28 and anteriorly, moving tooth #26 into buccoversion. Radiographic examination showed no central bony involvement, with a normal trabecular appearance. When a complete excision of the lesion was performed, the superficial alveolar bone was described as having the consistency of balsa wood. Histopathologic examination revealed a proliferation of loose myxoid tissue containing spindled and stellate mesenchymal cells with occasional epithelial rests, some of which were surrounded by an eosinophilic hyalinized zone. A portion of the proliferation was arranged in a lobular pattern, separated by thin strands of fibrous tissue. There was a significant amount of bone formation associated with the myxoid areas. The diagnosis of peripheral odontogenic myxoma was unexpected, as the primary clinical differential diagnostic consideration was peripheral ossifying fibroma. The peripheral odontogenic myxoma is a rare lesion, based on the low number of cases reported." @default.
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- W2016667054 date "2005-08-01" @default.
- W2016667054 modified "2023-09-25" @default.
- W2016667054 title "Peripheral Odontogenic Myxoma" @default.
- W2016667054 doi "https://doi.org/10.1016/j.tripleo.2005.05.014" @default.
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