Abstract

A 47-years-old female patient was referred to our unit due to an incidental radiographic finding of a mixed radiolucent-radiopaque lesion in the right mandible ramus. Complementary blood tests, an updated panoramic radiography and a cone beam computed tomography were performed. The incisional biopsy's histopathological report described a craniofacial monostotic fibrous dysplasia of the mandible.

Highlights

  • The craniofacial fibrous dysplasia is a rare disease of which diagnosis is difficult due to multiple differential diagnosis

  • Fibro-osseous lesions of the jaws are a group of benign disorders that can affect bone. Within this group is Fibrous Dysplasia (FD), whose name was mentioned for the first time by Lichtenstein in 1938 [1] and by Lichtenstein and Jaffe in 1942 [2]

  • In this condition normal bone tissue is replaced by fibrous tissue and immature bone characterised by abnormal proliferation of fibrous tissue between normal and immature bone, caused by poorly differentiated osteoblasts

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Summary

Discussion

The fibrous dysplasia is a low prevalence fibroosseous lesion that can affect one or more bones, causing different degree of alterations. Conservative management with long-term follow-up is the treatment of choice in certain cases, avoiding surgical morbidity

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