Abstract

The chondromyxoid fibroma comprises a rare benign cartilaginous neoplasm with a preference for long bones, especially fibula, in which only 2% of cases can arise in the craniofacial bones. We report a case of a 27-year-old leucoderm female patient without systemic comorbidities was referred to the oral surgery service after radiographic findings. The clinical examination showed expansion of the lingual mucosa on the right, without clinical symptoms and absence of dental mobility. At the radiographic examination, the patient had an extensive circumscribed radiolucent lesion, with a sclerotic margin, lingual and basilar cortical expansion, and preservation of the vestibular cortical bone. The diagnostic hypothesis was ameloblastoma. The incisional biopsy was performed, and after negative needle puncture cystic lesion was discarded. The histopathologic diagnosis was of chondromyxoid fibroma. The treatment was resection of the lesion with bone reconstruction using autogenous iliac crest graft in the first surgical time, with load-bearing–type fixation.

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