Fibroma pathophysiology
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2], Simrat Sarai, M.D. [3]
Overview
On gross pathology, polypoid lesion which is usually small, are characteristic findings of oral fibroma. On microscopic histopathological analysis, fibrous stroma, collagen bundles, prominent vessels, and overlying squamous mucosa with hyperkeratosis and focal ulceration are characteristic findings of oral fibroma. On gross pathology, well circumscribed, metaphyseal lesion, and fragments of white-grey rubbery tissue are characteristic findings of chondromyxoid fibroma. On microscopic histopathological analysis, spindle cells or stellate cells in a myxoid or chondroid stroma, lobules with hypocellular centers and hypercellular peripheries, giant cells in a hypercellular periphery, and scattered calcifications are characteristic findings of chondromyxoid fibroma. On gross pathology, fleshy, fibrous, yellow or tan-brown lesion with variable areas of haemorrhage are characteristic findings of non-ossifying fibroma. On microscopic histopathological analysis, spindle cells without cytologic atypia are arranged in a storiform pattern, scattered chronic inflammatory cells and benign giant cells, foam cells and hemosiderin deposition, and mitoses are characteristic findings of non-ossifying fibroma. On gross pathology, discrete mass that is well delineated from surrounding bone, tan-white, rubbery cut surface, firm to gritty and no encapsulation are characteristic findings of ossifying fibroma. On microscopic histopathological analysis, haphazardly distributed lamellated bony spicules on a background of fibrous stroma, a zonal architecture with a center of immature bone surrounded by more mature lamellar bone, and central spicules of woven bony trabeculae are lined by a layer of osteoblasts are characteristic findings of ossifying fibroma.[1][2]
Pathophysiology
Type of fibroma | Location | Gross pathology | Microscpoic pathology | Genetics and Immunohistochemistry | Associated conditions |
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Ovarian Fibroma [3][4][5][6][7][8][9][10] |
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Oral Fibroma [11][12][13] |
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Chondromyxoid fibroma [14][15][16][17][18][19][20][21][22] |
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Uterine fibroma [23][24][25][26][27][28][29][30][31][32][33] |
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Ossifying Fibroma [34][35][36][37][38][39][40] |
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Non-ossifying Fibroma [41][42][43] |
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Desmoplastic Fibroma [44][45][46][47][48][49][50] |
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Pleural Fibroma [51][52][53][54][55][56][57][58][59][60][61][62] |
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Cardiac Fibroma [63][64][65][66][67][68][69][70][71][72] |
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Renal Medullary Fibroma [73][74][75] |
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Cemento-ossifying Fibroma [76][77][78][79][80][81][82][83][84][85] |
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Desmoplastic Fibroblastoma [86][87][88][89][90][91] |
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Elastofibroma [92][93][94][95][96][97][98] |
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Sclerotic Fibroma [99][100][101][102][103][104][105][106][107] |
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Giant cell fibroma [108][109][110][111][112][113][114][115] |
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Peripheral Odontogenic Fibroma [116][117][118][119][120] | Firm, slowly growing, sessile, and nodular growth of the gingiva are characteristic findings of peripheral odontogenic fibroma. |
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Gross Pathology and Microscopic Pathology
Type of fibroma | Gross image | Microscopic image |
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Ovarian fibroma | ![]() |
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Oral fibroma | ![]() |
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Chondromyxoid fibroma | ||
Uterine fibroma | ![]() |
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Ossifying Fibroma | ![]() | |
Cardiac fibroma | ![]() |
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Giant cell fibroma | ![]() |
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Peripheral odontogenic fibroma | ![]() |
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Elastofibroma | ![]() |
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Desmoplastic fibroblastoma | ![]() | |
Renal medullary fibroma | ![]() |
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Pleural fibroma | ![]() |
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Pathophysiology
Physiology
The normal physiology of [name of process] can be understood as follows:
Pathogenesis
- The exact pathogenesis of [disease name] is not completely understood.
OR
- It is understood that [disease name] is the result of / is mediated by / is produced by / is caused by either [hypothesis 1], [hypothesis 2], or [hypothesis 3].
- [Pathogen name] is usually transmitted via the [transmission route] route to the human host.
- Following transmission/ingestion, the [pathogen] uses the [entry site] to invade the [cell name] cell.
- [Disease or malignancy name] arises from [cell name]s, which are [cell type] cells that are normally involved in [function of cells].
- The progression to [disease name] usually involves the [molecular pathway].
- The pathophysiology of [disease/malignancy] depends on the histological subtype.
Genetics
[Disease name] is transmitted in [mode of genetic transmission] pattern.
OR
Genes involved in the pathogenesis of [disease name] include:
- [Gene1]
- [Gene2]
- [Gene3]
OR
The development of [disease name] is the result of multiple genetic mutations such as:
- [Mutation 1]
- [Mutation 2]
- [Mutation 3]
Associated Conditions
Conditions associated with [disease name] include:
- [Condition 1]
- [Condition 2]
- [Condition 3]
Type of fibroma | Location | Gross pathology | Microscpoic pathology | Genetics and Immunohistochemistry | Associated conditions |
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Ovarian Fibroma [3][4][5][6][7][8][9][10] |
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Oral Fibroma [11][12][13] |
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Chondromyxoid fibroma [14][15][16][17][18][19][20][21][22] |
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Uterine fibroma [23][24][25][26][27][28][29][30][31][32][33] |
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Ossifying Fibroma [34][35][36][37][38][39][40] |
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Non-ossifying Fibroma [41][42][43] |
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Desmoplastic Fibroma [44][45][46][47][48][49][50] |
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Pleural Fibroma [51][52][53][54][55][56][57][58][59][60][61][62] |
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Cardiac Fibroma [63][64][65][66][67][68][69][70][71][72] |
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Renal Medullary Fibroma [73][74][75] |
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Cemento-ossifying Fibroma [76][77][78][79][80][81][82][83][84][85] |
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Desmoplastic Fibroblastoma [86][87][88][89][90][91] |
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Elastofibroma [92][93][94][95][96][97][98] |
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Sclerotic Fibroma [99][100][101][102][103][104][105][106][107] |
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|||
Giant cell fibroma [108][109][110][111][112][113][114][115] |
|
|
|
| |
Peripheral Odontogenic Fibroma [116][117][118][119][120] | Firm, slowly growing, sessile, and nodular growth of the gingiva are characteristic findings of peripheral odontogenic fibroma. |
|
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Type of fibroma | Gross image | Microscopic image |
---|---|---|
Ovarian fibroma | ![]() |
![]() |
Oral fibroma | ![]() |
![]() |
Chondromyxoid fibroma | ||
Uterine fibroma | ![]() |
![]() |
Ossifying Fibroma | ![]() | |
Cardiac fibroma | ![]() |
![]() |
Giant cell fibroma | ![]() |
![]() |
Peripheral odontogenic fibroma | ![]() |
![]() |
Elastofibroma | ![]() |
![]() |
Desmoplastic fibroblastoma | ![]() | |
Renal medullary fibroma | ![]() |
![]() |
Pleural fibroma | ![]() |
|
References
- ↑ Fibroma. Libre pathology(2015) http://librepathology.org/wiki/Fibroma Accessed on March 12, 2016
- ↑ Fibroma. Radiopedia(2015) http://radiopaedia.org/search?utf8=%E2%9C%93&q=fibroma&scope=all Accessed on March 12, 2016
- ↑ Jump up to: 3.0 3.1 Boujoual M, Hakimi I, Kouach J, Oukabli M, Moussaoui DR, Dehayni M (2015). "Large twisted ovarian fibroma in menopausal women: a case report". Pan Afr Med J. 20: 322. doi:10.11604/pamj.2015.20.322.5998. PMC 4491469. PMID 26175813.
- ↑ Jump up to: 4.0 4.1 Chen H, Liu Y, Shen LF, Jiang MJ, Yang ZF, Fang GP (November 2016). "Ovarian thecoma-fibroma groups: clinical and sonographic features with pathological comparison". J Ovarian Res. 9 (1): 81. doi:10.1186/s13048-016-0291-2. PMC 5120502. PMID 27876070.
- ↑ Jump up to: 5.0 5.1 Matsuda K, Tateishi S, Akazawa Y, Kinoshita A, Yoshida S, Morisaki S, Fukushima A, Matsuwaki T, Yoshiura KI, Nakashima M (October 2016). "Rapid growth of mitotically active cellular fibroma of the ovary: a case report and review of the literature". Diagn Pathol. 11 (1): 101. doi:10.1186/s13000-016-0554-7. PMID 27770806.
- ↑ Jump up to: 6.0 6.1 Yamada T, Hattori K, Satomi H, Hirose Y, Nakai G, Daimon A, Hayashi A, Terai Y, Ohmichi M, Fukunaga M (October 2015). "Mitotically active cellular fibroma of the ovary: a case report and literature review". J Ovarian Res. 8: 65. doi:10.1186/s13048-015-0191-x. PMC 4595272. PMID 26437718.
- ↑ Jump up to: 7.0 7.1 Zong L, Lin M, Fan X (2014). "Mitotically active cellular fibroma of ovary should be differentiated from fibrosarcoma: a case report and review of literature". Int J Clin Exp Pathol. 7 (11): 7578–82. PMC 4270577. PMID 25550794.
- ↑ Jump up to: 8.0 8.1 Parwate NS, Patel SM, Arora R, Gupta M (December 2016). "Ovarian Fibroma: A Clinico-pathological Study of 23 Cases with Review of Literature". J Obstet Gynaecol India. 66 (6): 460–465. doi:10.1007/s13224-015-0717-6. PMC 5080219. PMID 27821988.
- ↑ Jump up to: 9.0 9.1 Finch T, Pushpanathan C, Brown K, El-Gohary Y (June 2012). "Gorlin syndrome presenting with a unilateral ovarian fibroma in a 22-year-old woman: a case report". J Med Case Rep. 6: 148. doi:10.1186/1752-1947-6-148. PMID 22691621.
- ↑ Jump up to: 10.0 10.1 Yazdani S, Alijanpoor A, Sharbatdaran M, Bouzari Z, Abedisamakoosh M, Lakaieandi F, Mohammadpour M (2014). "Meigs' syndrome with elevated serum CA125 in a case of ovarian fibroma /thecoma". Caspian J Intern Med. 5 (1): 43–5. PMC 3894471. PMID 24490014.
- ↑ Jump up to: 11.0 11.1 Panta P (2015). "Traumatic fibroma". Pan Afr Med J. 21: 220. doi:10.11604/pamj.2015.21.220.7498. PMC 4587079. PMID 26448815.
- ↑ Jump up to: 12.0 12.1 Christopoulos P, Sklavounou A, Patrikiou A (April 1994). "True fibroma of the oral mucosa: a case report". Int J Oral Maxillofac Surg. 23 (2): 98–9. PMID 8035060.
- ↑ Jump up to: 13.0 13.1 Krishnan V, Shunmugavelu K (2015). "A clinical challenging situation of intra oral fibroma mimicking pyogenic granuloma". Pan Afr Med J. 22: 263. doi:10.11604/pamj.2015.22.263.8080. PMC 4765330. PMID 26958126.
- ↑ Jump up to: 14.0 14.1 Takenaga RK, Frassica FJ, McCarthy EF (2007). "Subperiosteal chondromyxoid fibroma: a report of two cases". Iowa Orthop J. 27: 104–7. PMC 2150655. PMID 17907440.
- ↑ Jump up to: 15.0 15.1 Sharma H, Jane MJ, Reid R (June 2006). "Chondromyxoid fibroma of the foot and ankle: 40 years' Scottish bone tumour registry experience". Int Orthop. 30 (3): 205–9. doi:10.1007/s00264-005-0046-y. PMC 2532097. PMID 16547720.
- ↑ Jump up to: 16.0 16.1 Yasuda T, Nishio J, Sumegi J, Kapels KM, Althof PA, Sawyer JR, Reith JD, Bridge JA (November 2009). "Aberrations of 6q13 mapped to the COL12A1 locus in chondromyxoid fibroma". Mod. Pathol. 22 (11): 1499–506. doi:10.1038/modpathol.2009.101. PMID 19648885.
- ↑ Jump up to: 17.0 17.1 Choi YS, Kim BS, Joo JE, Park YK, Lee SH, Song BY (2011). "A rare case of epiphyseal chondromyxoid fibroma of the proximal tibia". Korean J Radiol. 12 (6): 761–4. doi:10.3348/kjr.2011.12.6.761. PMC 3194784. PMID 22043162.
- ↑ Jump up to: 18.0 18.1 Gutiérrez-González R, De Reina L, Saab A, Jiménez-Heffernan J, García-Uría J (June 2012). "Chondromyxoid fibroma of the lumbar spine: case report and literature review". Eur Spine J. 21 Suppl 4: S458–62. doi:10.1007/s00586-011-2078-x. PMID 22094389.
- ↑ Jump up to: 19.0 19.1 Morris LG, Rihani J, Lebowitz RA, Wang BY (June 2009). "Chondromyxoid fibroma of sphenoid sinus with unusual calcifications: case report with literature review". Head Neck Pathol. 3 (2): 169–73. doi:10.1007/s12105-009-0121-6. PMID 19644549.
- ↑ Jump up to: 20.0 20.1 Minasian T, Claus C, Hariri OR, Piao Z, Quadri SA, Yuhan R, Leong D, Tashjian V (2016). "Chondromyxoid fibroma of the sacrum: A case report and literature review". Surg Neurol Int. 7 (Suppl 13): S370–4. doi:10.4103/2152-7806.182547. PMC 4879845. PMID 27274412.
- ↑ Jump up to: 21.0 21.1 Kilic D, Findikcioglu A, Tepeoglu M, Vural C (August 2015). "Chondromyxoid Fibroma of the Sternum in a 63-Year-Old Woman". Tex Heart Inst J. 42 (4): 400–2. doi:10.14503/THIJ-14-4381. PMC 4567104. PMID 26413029.
- ↑ Jump up to: 22.0 22.1 Fomete B, Adeosun OO, Awelimobor DI, Olayemi L (January 2014). "Chondromyxoid fibroma of the mandible: Case report and review of the literature". Ann Maxillofac Surg. 4 (1): 78–80. doi:10.4103/2231-0746.133072. PMC 4073468. PMID 24987604.
- ↑ Jump up to: 23.0 23.1 Manta L, Suciu N, Toader O, Purcărea RM, Constantin A, Popa F (2016). "The etiopathogenesis of uterine fibromatosis". J Med Life. 9 (1): 39–45. PMC 5152611. PMID 27974911.
- ↑ Jump up to: 24.0 24.1 Borahay MA, Al-Hendy A, Kilic GS, Boehning D (April 2015). "Signaling Pathways in Leiomyoma: Understanding Pathobiology and Implications for Therapy". Mol. Med. 21: 242–56. doi:10.2119/molmed.2014.00053. PMC 4503645. PMID 25879625.
- ↑ Jump up to: 25.0 25.1 Miettinen M, Felisiak-Golabek A, Wasag B, Chmara M, Wang Z, Butzow R, Lasota J (December 2016). "Fumarase-deficient Uterine Leiomyomas: An Immunohistochemical, Molecular Genetic, and Clinicopathologic Study of 86 Cases". Am. J. Surg. Pathol. 40 (12): 1661–1669. doi:10.1097/PAS.0000000000000703. PMC 5106328. PMID 27454940.
- ↑ Jump up to: 26.0 26.1 Commandeur AE, Styer AK, Teixeira JM (2015). "Epidemiological and genetic clues for molecular mechanisms involved in uterine leiomyoma development and growth". Hum. Reprod. Update. 21 (5): 593–615. doi:10.1093/humupd/dmv030. PMC 4533663. PMID 26141720.
- ↑ Jump up to: 27.0 27.1 Flake GP, Andersen J, Dixon D (June 2003). "Etiology and pathogenesis of uterine leiomyomas: a review". Environ. Health Perspect. 111 (8): 1037–54. doi:10.1289/ehp.5787. PMC 1241553. PMID 12826476.
- ↑ Jump up to: 28.0 28.1 Lobel MK, Somasundaram P, Morton CC (March 2006). "The genetic heterogeneity of uterine leiomyomata". Obstet. Gynecol. Clin. North Am. 33 (1): 13–39. doi:10.1016/j.ogc.2005.12.006. PMID 16504804.
- ↑ Jump up to: 29.0 29.1 Wolańska M, Bańkowski E (February 2007). "Transforming growth factor beta and platelet-derived growth factor in human myometrium and in uterine leiomyomas at various stages of tumour growth". Eur. J. Obstet. Gynecol. Reprod. Biol. 130 (2): 238–44. doi:10.1016/j.ejogrb.2006.01.034. PMID 16564125.
- ↑ Jump up to: 30.0 30.1 Baird DD, Kesner JS, Dunson DB (February 2006). "Luteinizing hormone in premenopausal women may stimulate uterine leiomyomata development". J. Soc. Gynecol. Investig. 13 (2): 130–5. doi:10.1016/j.jsgi.2005.12.001. PMID 16443507.
- ↑ Jump up to: 31.0 31.1 Andersen J (August 1996). "Growth factors and cytokines in uterine leiomyomas". Semin. Reprod. Endocrinol. 14 (3): 269–82. doi:10.1055/s-2007-1016336. PMID 8885057.
- ↑ Jump up to: 32.0 32.1 Laganà AS, Vergara D, Favilli A, La Rosa VL, Tinelli A, Gerli S, Noventa M, Vitagliano A, Triolo O, Rapisarda A, Vitale SG (November 2017). "Epigenetic and genetic landscape of uterine leiomyomas: a current view over a common gynecological disease". Arch. Gynecol. Obstet. 296 (5): 855–867. doi:10.1007/s00404-017-4515-5. PMID 28875276. Vancouver style error: initials (help)
- ↑ Jump up to: 33.0 33.1 Koutsilieris M (May 1992). "Pathophysiology of uterine leiomyomas". Biochem. Cell Biol. 70 (5): 273–8. PMID 1323302.
- ↑ Jump up to: 34.0 34.1 Wang TT, Zhang R, Wang L, Chen Y, Dong Q, Li TJ (March 2014). "Two cases of multiple ossifying fibromas in the jaws". Diagn Pathol. 9: 75. doi:10.1186/1746-1596-9-75. PMC 3974450. PMID 24678936.
- ↑ Jump up to: 35.0 35.1 Chen Y, Hu DY, Wang TT, Zhang R, Dong Q, Xu ZX, Wang L, Li TJ (September 2016). "CDC73 gene mutations in sporadic ossifying fibroma of the jaws". Diagn Pathol. 11 (1): 91. doi:10.1186/s13000-016-0532-0. PMC 5034632. PMID 27658992.
- ↑ Jump up to: 36.0 36.1 Maria A, Sharma Y, Malik M (December 2013). "Juvenile ossifying fibroma of mandible: a case report". J Maxillofac Oral Surg. 12 (4): 447–50. doi:10.1007/s12663-010-0122-8. PMID 24431886.
- ↑ Jump up to: 37.0 37.1 Alghonaim Y, ALRashed ALHumaid S, Arafat A (2018). "Aggressive ossifying fibroma of right ethmoidal sinus: A case report". Int J Surg Case Rep. 53: 513–516. doi:10.1016/j.ijscr.2017.12.026. PMC 6290393. PMID 29373206.
- ↑ Jump up to: 38.0 38.1 Liu Y, Shan XF, Guo XS, Xie S, Cai ZG (2017). "Clinicopathological Characteristics and Prognosis of Ossifying Fibroma in the Jaws of Children: A Retrospective Study". J Cancer. 8 (17): 3592–3597. doi:10.7150/jca.21556. PMC 5687175. PMID 29151945.
- ↑ Jump up to: 39.0 39.1 Liu JJ, Thompson LD, Janisiewicz AM, Shibuya TY, Keschner DB, Garg R, Lee JT (March 2017). "Ossifying fibroma of the maxilla and sinonasal tract: Case series". Allergy Rhinol (Providence). 8 (1): 32–36. doi:10.2500/ar.2017.8.0190. PMC 5380450. PMID 28381325.
- ↑ Jump up to: 40.0 40.1 Misra SR, Saigal A, Rastogi V, Priyadarshini SR, Pati AR (January 2015). "Giant central ossifying fibroma of the maxilla presenting with a pus discharging intra-oral sinus". J Clin Diagn Res. 9 (1): ZD08–11. doi:10.7860/JCDR/2015/11192.5417. PMC 4347180. PMID 25738089.
- ↑ Jump up to: 41.0 41.1 Bowers LM, Cohen DM, Bhattacharyya I, Pettigrew JC, Stavropoulos MF (June 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. PMID 23008139.
- ↑ Jump up to: 42.0 42.1 Herget GW, Mauer D, Krauß T, El Tayeh A, Uhl M, Südkamp NP, Hauschild O (April 2016). "Non-ossifying fibroma: natural history with an emphasis on a stage-related growth, fracture risk and the need for follow-up". BMC Musculoskelet Disord. 17: 147. doi:10.1186/s12891-016-1004-0. PMC 4820930. PMID 27044378.
- ↑ Jump up to: 43.0 43.1 Goldin A, Muzykewicz DA, Dwek J, Mubarak SJ (October 2017). "The aetiology of the non-ossifying fibroma of the distal femur and its relationship to the surrounding soft tissues". J Child Orthop. 11 (5): 373–379. doi:10.1302/1863-2548.11.170068. PMC 5643931. PMID 29081852.
- ↑ Jump up to: 44.0 44.1 Schneider M, Zimmermann AC, Depprich RA, Kübler NR, Engers R, Naujoks CD, Handschel J (November 2009). "Desmoplastic fibroma of the mandible--review of the literature and presentation of a rare case". Head Face Med. 5: 25. doi:10.1186/1746-160X-5-25. PMID 19930688.
- ↑ Jump up to: 45.0 45.1 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. PMID 23459513.
- ↑ Jump up to: 46.0 46.1 Gong YB, Qu LM, Qi X, Liu JG (October 2015). "Desmoplastic fibroma in the proximal femur: A case report with long-term follow-up". Oncol Lett. 10 (4): 2465–2467. doi:10.3892/ol.2015.3603. PMID 26622872.
- ↑ Jump up to: 47.0 47.1 Daneyemez M, Akay KM, Izci Y (October 2005). "Desmoplastic fibroma of the cervical spine". Eur Spine J. 14 (8): 799–802. doi:10.1007/s00586-005-0904-8. PMID 15937674.
- ↑ Jump up to: 48.0 48.1 Woods TR, Cohen DM, Islam MN, Rawal Y, Bhattacharyya I (June 2015). "Desmoplastic fibroma of the mandible: a series of three cases and review of literature". Head Neck Pathol. 9 (2): 196–204. doi:10.1007/s12105-014-0561-5. PMID 25113037.
- ↑ Jump up to: 49.0 49.1 Goyal T, Rastogi S, Tripathy SK (March 2013). "Desmoplastic fibroma of ulna: Excision and reconstruction of olecranon with a fibular graft". Indian J Orthop. 47 (2): 207–10. doi:10.4103/0019-5413.108928. PMC 3654474. PMID 23682186.
- ↑ Jump up to: 50.0 50.1 Evans S, Ramasamy A, Jeys L, Grimer R (November 2014). "Desmoplastic fibroma of bone: A rare bone tumour". J Bone Oncol. 3 (3–4): 77–9. doi:10.1016/j.jbo.2014.08.001. PMC 4723648. PMID 26909301.
- ↑ Jump up to: 51.0 51.1 Aremu AA, Oyedeji OA, Asaleye CM, Adetiloye VA (2013). "An elusive chest coin in an African child: a pleural fibroma's long, tortuous path to freedom". Pan Afr Med J. 14: 16. doi:10.11604/pamj.2013.14.16.1874. PMC 3597858. PMID 23503999.
- ↑ Jump up to: 52.0 52.1 Hassan S, Husain SS, Anwar MA, Saeed S (2015). "Pleural Fibroma; A meandering path to surgical removal". Pak J Med Sci. 31 (1): 236–8. doi:10.12669/pjms.311.5517. PMC 4386196. PMID 25878653.
- ↑ Jump up to: 53.0 53.1 Ali JM, Ali A, Van Leuven M, Bartosik WR (July 2017). "Giant solitary fibrous tumour of the pleura an unpredictable entity: case series and literature review". Ann R Coll Surg Engl. 99 (6): e165–e171. doi:10.1308/rcsann.2017.0067. PMC 5696978. PMID 28660826.
- ↑ Jump up to: 54.0 54.1 Supakul R, Sodhi A, Tamashiro CY, Azmi SS, Kadaria D (December 2015). "Solitary Fibrous Tumor of the Pleura: A Rare Cause of Pleural Mass". Am J Case Rep. 16: 854–7. PMC 4671454. PMID 26632548.
- ↑ Jump up to: 55.0 55.1 Guo W, Xiao HL, Jiang YG, Wang RW, Zhao YP, Ma Z, Niu HJ (October 2011). "Retrospective analysis for thirty-nine patients with solitary fibrous tumor of pleura and review of the literature". World J Surg Oncol. 9: 134. doi:10.1186/1477-7819-9-134. PMC 3214850. PMID 22014289.
- ↑ Jump up to: 56.0 56.1 Chu X, Zhang L, Xue Z, Ren Z, Sun YE, Wang M, Liu M (April 2012). "Solitary fibrous tumor of the pleura: An analysis of forty patients". J Thorac Dis. 4 (2): 146–54. doi:10.3978/j.issn.2072-1439.2012.01.05. PMID 22833820.
- ↑ Jump up to: 57.0 57.1 Guo J, Chu X, Sun YE, Zhang L, Zhou N (November 2010). "Giant solitary fibrous tumor of the pleura: an analysis of five patients". World J Surg. 34 (11): 2553–7. doi:10.1007/s00268-010-0715-x. PMC 2949573. PMID 20628740.
- ↑ Jump up to: 58.0 58.1 Moat NE, Teale JD, Lea RE, Matthews AW (December 1991). "Spontaneous hypoglycaemia and pleural fibroma: role of insulin like growth factors". Thorax. 46 (12): 932–3. doi:10.1136/thx.46.12.932. PMC 463503. PMID 1792644.
- ↑ Jump up to: 59.0 59.1 Masson EA, MacFarlane IA, Graham D, Foy P (December 1991). "Spontaneous hypoglycaemia due to a pleural fibroma: role of insulin like growth factors". Thorax. 46 (12): 930–1. doi:10.1136/thx.46.12.930. PMID 1792643.
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