Gigantiform cementoma: Clinicopathologic presentation of 3 cases

Gigantiform cementoma is a rare, benign fibro-cemento-osseous disease of the jaws, seen most frequently in young girls. Radiographically, it typically presents as multiquadrant, expansile, mixed radiolucent-opaque lesions that cross the midlines of the jaws. Although cases with a familial pattern ar...

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Published in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2001-04, Vol.91 (4), p.438-444
Main Authors: Abdelsayed, Rafik A., Eversole, Lewis R., Singh, Baldev S., Scarbrough, Frank E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Cementoma - diagnostic imaging
Cementoma - pathology
Child
Dentistry
Diagnosis, Differential
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Fibrous Dysplasia of Bone - diagnostic imaging
Humans
Jaw Diseases - diagnostic imaging
Jaw Neoplasms - diagnostic imaging
Jaw Neoplasms - pathology
Medical sciences
Neoplasm, Residual - pathology
Otorhinolaryngology. Stomatology
Radiography
Tumors
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Summary:Gigantiform cementoma is a rare, benign fibro-cemento-osseous disease of the jaws, seen most frequently in young girls. Radiographically, it typically presents as multiquadrant, expansile, mixed radiolucent-opaque lesions that cross the midlines of the jaws. Although cases with a familial pattern are noted in a few publications, sporadic cases have been reported without a family history. The term gigantiform cementoma has been used interchangeably with designations of other fibro-osseous entities, yet its application should be restricted by the criteria defined herein. In this article, we report 3 cases of gigantiform cementoma. Clinical, radiographic, and microscopic features of these lesions are presented, along with criteria to differentiate gigantiform cementoma from other fibro-osseous diseases of the jaws. A possible pathogenetic mechanism and treatment recommendations are discussed. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:438-44)
ISSN:1079-2104
1528-395X
DOI:10.1067/moe.2001.113108