Peripheral Odontogenic Fibroma: A Report of a Rare Case and Review of Literature

Cureus. 2024 Apr 12;16(4):e58154. doi: 10.7759/cureus.58154. eCollection 2024 Apr.

Abstract

Peripheral odontogenic fibroma (POF) is described as a relatively rare, benign, extraosseous odontogenic tumor derived from odontogenic ectomesenchyme. It is characterized by a mature fibrous stroma with embedded inactive resting islands of odontogenic epithelium. In the category of peripheral/extraosseous neoplasms, odontogenic fibroma (OF) is one of the most prevalent tumors. The radiographic examination shows minimum bone loss in the alveolar crest area. It poses a diagnostic challenge for clinicians and pathologists because its clinical and radiological aspects are similar to other peripheral odontogenic as well as non-odontogenic tumors, and the differential diagnosis is predicated on histological assessment. Histopathological examination is the key to a final confirmed diagnosis. This article presents a case report of a 53-year-old male who reported a painless, pale pink mass in the maxillary anterior region. We emphasize the clinicopathological, radiographical, and histopathological aspects of the rare entity of POF.

Keywords: benign tumor; odontogenic islands; odontogenic tumors; peripheral odontogenic fibroma; recurrence.

Publication types

  • Case Reports