Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Fibrous dysplasia of the maxilla in an elderly female: Case report on a 14-year quiescent phase

  • Lee, Byung-Do (Department of Oral and Maxillofacial Radiology and Research Institute of Dental Education, College of Dentistry, Wonkwang University) ;
  • Lee, Wan (Department of Oral and Maxillofacial Radiology, College of Dentistry, Wonkwang University) ;
  • Park, Yong-Chan (Department of Oral and Maxillofacial Radiology, College of Dentistry, Wonkwang University) ;
  • Kim, Myoung-Hyoun (Department of Nuclear Medicine, Wonkwang University, School of Medicine and Institute of Wonkwang Medical Science) ;
  • Choi, Moon-Ki (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Yoon, Jung-Hoon (Department of Oral and Maxillofacial Pathology, College of Dentistry, Wonkwang Bone Regeneration Research Institute, Daejeon Dental Hospital, Wonkwang University)
  • Received : 2016.06.27
  • Accepted : 2016.09.11
  • Published : 2016.12.31
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Abstract

Fibrous dysplasia (FD) is an uncommon skeletal disorder in which normal bone is replaced by abnormal fibro-osseous tissue. Mainly, FD is found in children, and by adulthood it usually becomes quiescent. Our case showed FD of more than 14-year duration in the left maxilla. Our evaluation was that growth ceased in adulthood and had achieved the static stage. Because FD cases in elderly patients are rarely reported, we hereby present a monostotic FD case in a 65-year-old female. We presented sequential radiographic images and scintigraphic images of this case, and combined them with a literature review that emphasized the progression of the disease.

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References

  1. Lee JS, FitzGibbon EJ, Chen YR, Kim HJ, Lustig LR, Akintoye SO, et al. Clinical guidelines for the management of craniofacial fibrous dysplasia. Orphanet J Rare Dis 2012; 7 Suppl 1: S2. https://doi.org/10.1186/1750-1172-7-S1-S2
  2. Mardekian SK, Tuluc M. Malignant sarcomatous transformation of fibrous dysplasia. Head Neck Pathol 2015; 9: 100-3. https://doi.org/10.1007/s12105-014-0567-z
  3. Tehranzadeh J, Fung Y, Donohue M, Anavim A, Pribram HW. Computed tomography of Paget disease of the skull versus fibrous dysplasia. Skeletal Radiol 1998; 27: 664-72. https://doi.org/10.1007/s002560050456
  4. Ricalde P, Magliocca KR, Lee JS. Craniofacial fibrous dysplasia. Oral Maxillofac Surg Clin North Am 2012; 24: 427-41. https://doi.org/10.1016/j.coms.2012.05.004
  5. Kramer IR, Pindborg JJ, Shear M. The WHO Histological Typing of Odontogenic Tumours. A commentary on the Second Edition. Cancer 1992; 70: 2988-94. https://doi.org/10.1002/1097-0142(19921215)70:12<2988::AID-CNCR2820701242>3.0.CO;2-V
  6. Davies ML, Macpherson P. Fibrous dysplasia of the skull: disease activity in relation to age. Br J Radiol 1991; 64: 576-9. https://doi.org/10.1259/0007-1285-64-763-576
  7. MacDonald-Jankowski D. Fibrous dysplasia: a systematic review. Dentomaxillofac Radiol 2009; 38: 196-215. https://doi.org/10.1259/dmfr/16645318
  8. Nityasri V, Haris PS, Bose T, Balan A. Fibrous dysplasia - a 13-year retrospective radiographic analysis in a south Indian population. Dentomaxillofac Radiol 2011; 40: 282-9. https://doi.org/10.1259/dmfr/32556437
  9. Proschek D, Orler R, Stauffer E, Heini P. Monostotic fibrous dysplasia of the spine: report of a case involving a cervical vertebra. Arch Orthop Trauma Surg 2007; 127: 75-9. https://doi.org/10.1007/s00402-006-0231-5
  10. Lee SH, Han IH, Kang DW, Choi BK. Cervical fibrous dysplasia presenting as a pathologic fracture in an older patient. J Korean Neurosurg Soc 2011; 50: 139-42. https://doi.org/10.3340/jkns.2011.50.2.139
  11. Sachdeva SK. Craniofacial fibrous dysplasia in an elderly patient: a case report with a review of literature. Acta Stomatol Croat 2015; 49: 60-4. https://doi.org/10.15644/asc49/1/8
  12. DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am 2005; 87: 1848-64.
  13. Lustig LR, Holliday MJ, McCarthy EF, Nager GT. Fibrous dysplasia involving the skull base and temporal bone. Arch Otolaryngol Head Neck Surg 2001; 127: 1239-47. https://doi.org/10.1001/archotol.127.10.1239
  14. Kransdorf MJ, Moser RP Jr, Gilkey FW. Fibrous dysplasia. Radiographics 1990; 10: 519-37. https://doi.org/10.1148/radiographics.10.3.2188311
  15. Ajdinovic B, Jaukovic L, Antoniou D. Five benign myoskeletal diseases in paediatrics and the role of nuclear medicine. Do they differ from those in adults? Hell J Nucl Med 2013; 16: 2-8.
  16. MacDonald-Jankowski D. Fibrous dysplasia in the jaws of a Hong-Kong population: radiographic presentation and systematic review. Dentomaxillofac Radiol 1999; 28: 195-202. https://doi.org/10.1038/sj.dmfr.4600440
  17. Singer SR, Mupparapu M, Rinaggio J. Clinical and radiographic features of chronic monostotic fibrous dysplasia of the mandible. J Can Dent Assoc 2004; 70: 548-52.
  18. Li J, Li H, Liu X, Han Z. Surgical treatment of polyostotic craniomaxillofacial fibrous dysplasia in adult: a case report and review of the literature. Int J Clin Exp Med 2015; 8: 16756-64.
  19. Camilleri AE. Craniofacial fibrous dysplasia. J Laryngol Otol 1991; 105: 662-6. https://doi.org/10.1017/S0022215100116974
  20. Mladina R, Manojlovic S, Markov-Glavas D, Heinrich Z. Isolated unilateral fibrous dysplasia of the sphenoid sinus. Ann Otol Rhinol Laryngol 1999; 108: 1181-4. https://doi.org/10.1177/000348949910801216
  21. Ozek C, Gundogan H, Bilkay U, Tokat C, Gurler T, Songur E. Craniomaxillofacial fibrous dysplasia. J Craniofac Surg 2002; 13: 382-9. https://doi.org/10.1097/00001665-200205000-00004
  22. Olmsted WW. Some skeletogenic lesions with common calvarial manifestations. Radiol Clin North Am 1981; 19: 703-13.
  23. Delilbasi C, Deniz E, Ekici ID. Monostotic fibrous dysplasia of the mandible. Oral Health Dent Manag 2014; 13: 326-9.
  24. Yetiser S, Gonul E, Tosun F, Tasar M, Hidir Y. Monostotic craniofacial fibrous dysplasia: the Turkish experience. J Craniofac Surg 2006; 17: 62-7. https://doi.org/10.1097/01.scs.0000186459.29967.e7
  25. Henry A. Monostotic fibrous dysplasia. J Bone Joint Surg Br 1969; 51: 300-6.
  26. Kim GT, Lee JK, Choi BJ, Kim J, Han SH, Kwon YD. Malignant transformation of monostotic fibrous dysplasia in the mandible. J Craniofac Surg 2010; 21: 601-3. https://doi.org/10.1097/SCS.0b013e3181d08ca8
  27. Riddle ND, Bui MM. Fibrous dysplasia. Arch Pathol Lab Med 2013; 137: 134-8. https://doi.org/10.5858/arpa.2012.0013-RS
  28. Ruggieri P, Sim FH, Bond JR, Unni KK. Malignancies in fibrous dysplasia. Cancer 1994; 73: 1411-24. https://doi.org/10.1002/1097-0142(19940301)73:5<1411::AID-CNCR2820730516>3.0.CO;2-T
  29. Daffner RH, Kirks DR, Gehweiler JA Jr, Heaston DK. Computed tomography of fibrous dysplasia. AJR Am J Roentgenol 1982; 139: 943-8. https://doi.org/10.2214/ajr.139.5.943
  30. Tokano H, Sugimoto T, Noguchi Y, Kitamura K. Sequential computed tomography images demonstrating characteristic changes in fibrous dysplasia. J Laryngol Otol 2001; 115: 757-9.
  31. Petrikowski CG, Pharoah MJ, Lee L, Grace MG. Radiographic differentiation of osteogenic sarcoma, osteomyelitis, and fibrous dysplasia of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 80: 744-50. https://doi.org/10.1016/S1079-2104(05)80260-4
  32. Gilday DL, Ash JM. Benign bone tumors. Semin Nucl Med 1976; 6: 33-46. https://doi.org/10.1016/S0001-2998(76)80034-7
  33. Qu N, Yao W, Cui X, Zhang H. Malignant transformation in monostotic fibrous dysplasia: clinical features, imaging features, outcomes in 10 patients, and review. Medicine (Baltimore) 2015; 94: e369. https://doi.org/10.1097/MD.0000000000000369
  34. Wang K, Allen L, Fung E, Chan CC, Chan JC, Griffith JF. Bone scintigraphy in common tumors with osteolytic components. Clin Nucl Med 2005; 30: 655-71. https://doi.org/10.1097/01.rlu.0000178027.20780.95