Abstract

Objective: Myofibromas are known to occur relatively commonly in the oral and maxillofacial region as osseous, intramuscular or submucosal neoplasms. However, solitary myofibromas in the jaws are rare. The purpose of this presentation is to report a case of solitary infantile myofibroma of the mandible and detail the behavior and features of myofibromas occurring in the jaws. Method: One case of infantile solitary myofibroma of the mandible is reported that was first noticed within one week of birth in a male child. Its clinical, radiological and histological features are presented and discussed in relation to features reported in the literature. Histopathologic diagnosis was reached at 2 months of age and the patient kept under observation for a further 3 months to explore the possibility of spontaneous regression. Ultimately, at 5 months of age the yet enlarging tumour was removed through simple excision. Results: The patient responded favourably to conservative excision and remains disease-free at 31 months. Correct pre-operative diagnosis in this case averted major ablative surgery. Conclusion: Although solitary myofibroma is rare in the mandible, its definitive diagnosis is of clinical importance as the lesion may show spontaneous regression. It is amenable to simple conservative excision.

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