Keywords
Oral pathology
Pediatric dentistry
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Abstract
Objective: Report a clinical case of myofibroma, aiming to increasing knowledge about this rare tumor in childhood and the importance of pediatric dentists in the diagnosis and management of this lesion. Case report: A 4-year-old pediatric patient, melanoderma, resident in a city in Ceará, in a pediatric consultation presented with an increase in volume in the left submandibular region. A clinical and radiographic examination was performed, where no cause was found for the appearance of the lesion, being referred to the facial maxillary surgeon. The patient was referred to a hospital where an incisional biopsy was performed in which the histopathological diagnosis was myofibroma. After the diagnosis was established, the definitive treatment of the lesion was total surgical removal of the lesion. The patient was discharged and had postoperative follow-up of 06 years. Final considerations: Myofibroma has a difficult clinical diagnosis. It is important that the pediatric dentist is able to perform the detailed oral examination, thus establishing early referral diagnosis and treatment.
References
ARRUDA JAA, et al. A multicenter study of malignant oral and maxillofacial lesions in children and adolescents, Oral Oncology, 2017; 75: 39-45.
CHATTARAJ M, et al. Solitary Myofibroma of the Mandible in a Six-Year Old-Child: Diagnosis of a Rare Lesion. J Clin Diagn Res., 2017; 11(4).
DA SILVA BARROS CC, et al. Neoplasms and non-neoplastic pathologies in the oral and maxillofacial regions in children and adolescents of a Brazilian population. Clin Oral Invest., 2019; 23.
GONZÁLEZ JL, et al. Intraosseus myofibroma of the mandible: a case report. Int. J. Odontostomat., 2013; 7(3): 339-342.
GURGEL BCMS, et al. Neoplasias orofaciais em crianças e adolescents. Arq Odontol, 2020; 56: e24.
HAAD AE, et al. Semiologia aplicada à odontopediatria e à herbiatria. In: GUEDES-PINTO AC, et al. Odontopediatria. 1ª ed. São Paulo: Livraria Santos Editora, 2009.
HASPEL AC, et al. Myofibroma of the mandible in na infant: case report, review of the literature, and discussion. J. Oral Maxillofac. Surg., 2012; 70: 1599-1604.
INSTITUTO NACIONAL DE CÂNCER JOSÉ ALENCAR GOMES DA SILVA (INCA). Coordenação de Prevenção e Vigilância. Incidência, mortalidade e morbidade hospitalar por câncer em crianças, adolescentes e adultos jovens no Brasil: informações dos registros de câncer e do sistema de mortalidade. Rio de Janeiro: Inca, 2016; 412p.
KHANMOHAMMADI R, et al. Oral tumors in children: Diagnosis and management. J Cell Biochem., 2018; 119: 2474– 2483.
LEE YM, et al. Solitary myofibroma of the adult mandible: a case report and review of literature. The Korean Journal of Pathology, 2014; 48: 307-310.
MATOS AL, et al. Oral injuries in children: a systematic review of speech therapy interest. Rev. CEFAC., 2016; 18(1): 209-213.
NARAYEN V, et al. Myofibroma of gingiva: a rare case report and literature review. Case Reports in Dentistry, 2015.
NEVILLE BW, et al. Oral and Maxillofacial Pathology. 4ª ed. Rio de Janeiro: Elsevier, 2016.
NIRVIKALPA N, NARAYANAN V. Intraosseous infantile myofibroma of the mandible. Annals of Maxillofacial Surgery, 2011; 1(1).
PEREIRA DE OLIVEIRA DHI, et al. Myofibroblastic lesions in the oral cavity: Immunohistochemical and ultrastructural analysis. Oral Dis., 2019; 25: 174– 181.
PINTO A, et al. O que o Médico Pediatra deve saber sobre patologias dos tecidos moles na população pediátrica. Acta Pediátrica Portuguesa 2009; 40(1): 15-21.
REIS RS, et al. Incidência de tumores pediátricos no Brasil. Revista Brasileira de Cancerologia, 2007; 53(1): 5-15.
SHAFER WG. Tumores orais nas crianças. In: Mc DONALD RE. Odontopediatria, 2ª ed. Rio de Janeiro: Editora Guanabara Koogan, 1977.
SHARIFI A, et al. A rare case of a myofibroma presenting on the tongue. Ann. R. Coll. Surg. Engl., 2015; 97: 57-60.
SHIBUYA Y, et al. Myofibroma of the mandible. Kobe J. Med. Sci., 2008; 54(3): 169-173.
SMITH MH, et al. An update on myofibromas and myofibromatosis affecting the oral regions with report of 24 new cases. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2017.
TANAKA Y, et al. Solitary myofibroma of the mandibule in na adult with magnetic resonance imaging and pósitron emission tomography findings: a case report. World Jornal of Surgical Oncology, 2014; 12(69).
TRÖBS R, et al. Oral tumors and tumor-like lesions in infants and children. Pediatr. Surg. Int. 2003;19(9): 639-645.
ÜSTÜNDAG E, et al. Central giant cell granuloma. Int. J. Pediatr. Otorhinolaryngol., 2002; 65: 143-146.
VENKATESH V, et al. Myofibroma- A rare entity with unique clinical presentation. J. Maxillofac. Oral Surg., 2015; 14: 64-68.
WORLD OF HEALTH ORGANIZATION (WHO). World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press: Lyon, 2002.
YUHAN BT, et al. Benign and Malignant Oral Lesions in Children and Adolescents. An Organized Approach to Diagnosis and Management. Pediatr Clin N Am., 2018; 65: 1033-1050.