Seguimiento radiológico en paciente con fibroma condromixoide del seno frontalDiagnóstico diferencial, alternativas terapéuticas y revisión de la literatura

  1. I. Zubillaga Rodríguez
  2. S. Heredero Jung
  3. M. Castrillo Tambay
  4. Gregorio Sánchez Aniceto
  5. J.J. Montalvo Moreno
Revista:
Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial

ISSN: 1130-0558

Any de publicació: 2006

Volum: 28

Número: 6

Pàgines: 359-367

Tipus: Article

DOI: 10.4321/S1130-05582006000600006 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial

Resum

Introduction. Chondromyxoid fibroma is a slow growing and rare benign bone tumor. Its location in the craniofacial skeleton is not common, especially in the frontal sinus. Objectives. We present a long-term follow-up of a patient with a frontal chondromyxoid fibroma who was operated four years ago. We discuss the various differential diagnoses and possible treatments. Discussion. The differential diagnosis includes chondrosarcoma, myxosarcoma, myxoma and chordoma. From the radiological point of view, chondromyxoid fibroma must be always considered as a diagnostic possibility when a solitary bone lesion appears with expansion or cortical osteolysis, lobulated margins and intralesional septi. Treatment includes curettage or monoblock resection with immediate bone graft reconstruction. Radiation therapy alone must not be considered as the first therapeutic possibility. Conclusions. The benign nature of the tumor does not justify radical, unnecessary treatment. The subcranial approach is appropriate for lesions located in the frontal sinus. A clinical and radiological follow-up is needed to identify tumor relapse.

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