Fibroma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

Physical Examination

Oral Fibroma

HEENT

  • Oral fibroma appears as a sessile, dome-shaped mass with a smooth surface.
  • The size of the lesion may range from 1-2 centimeters in diameter.
  • Oral fibroma is usually pale pink in color. Occasionally, the lesion may appear reddish.
  • If traumatized, ulceration on the surface may be noted.
  • Oral fibroma is firm upon palpation and exhibits a well-defined periphery and usually non tender on palpation.

Chondromyxoid Fibroma

Extremities

The proximal tibia metaphysis is the most common location, followed by the distal femoral metaphysis.[1]

  • Patients may have localized tenderness or swelling over a lesion
  • A pathologic fracture may be present

Non-ossifying Fibroma

Extremities

  • Large non-ossifying fibromas may cause localized tenderness or swelling over a lesion and/or pathologic fracture in the long bones.[2]

Desmoplastic Fibroma

Extremities

  • Tenderness over the affected area
  • Palpable mass may be present[3]

Ossifying Fibroma

Extremities

  • Localized pain or pathological fracture may be present
  • Localized firm swelling of the tibia may be present

HEENT

  • Intraoral examination may reveal diffuse expansion of jaw, if mandible is involved.
  • Swelling in the affected region is the most common clinical sign observed in patients with OF.
  • OF of jaw may cause tooth displacement and root resorption in adjacent teeth.[4][5]


References

  1. Wu KK (1995). "Chondromyxoid fibroma of the foot bones". J Foot Ankle Surg. 34 (5): 513–9. doi:10.1016/S1067-2516(09)80030-6. PMID 8590888.
  2. Bowers LM, Cohen DM, Bhattacharyya I, Pettigrew JC, Stavropoulos MF (2013). "The non-ossifying fibroma: a case report and review of the literature". Head Neck Pathol. 7 (2): 203–10. doi:10.1007/s12105-012-0399-7. PMC 3642261. PMID 23008139.
  3. Nedopil A, Raab P, Rudert M (2013). "Desmoplastic fibroma: a case report with three years of clinical and radiographic observation and review of the literature". Open Orthop J. 8: 40–6. doi:10.2174/1874325001307010040. PMC 3583030. PMID 23459513.
  4. Kashyap, Roopashri Rajesh; Nair, Gopakumar R.; Gogineni, Subhas Babu (2011). "Asymptomatic Presentation of Aggressive Ossifying Fibroma:A Case Report". Case Reports in Dentistry. 2011: 1–4. doi:10.1155/2011/523751. ISSN 2090-6447.
  5. Andrade, Marcia de; Silva-Sousa, Yara Teresinha Correa; Marques, Maria Fernanda Teiga; Pontual, Maria Luiza dos Anjos; Ramos-Perez, Flavia Maria de Moraes; Perez, Danyel Elias da Cruz (2013). "Ossifying Fibroma of the Jaws: A Clinicopathological Case Series Study". Brazilian Dental Journal. 24 (6): 662–666. doi:10.1590/0103-6440201302364. ISSN 0103-6440.

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