RESUMO
We report a case of a woman presenting a giant cementoossifying fibroma depending of the mandibular gingivae. The evolution of the process was 20 years. Cemento-ossifying fibroma is a relatively rare tumour classified between fibroosseous lesions. This lesion appears within the bone although in some occasions it involves the gingivae soft tissues, as the case we present. It is a slow-growing and well-defined tumorous lesion, because of this, it is considered as a benign lesion. The histologic findings alone may be similar to other pathologies such as osteoblastoma, low-grade osteosarcoma and particularly to fibrous dysplasia. An accurate diagnosis requires careful clinical, radiological and histological correlation in order to make an optimal treatment and an excellent outcome.
Assuntos
Fibroma Ossificante , Neoplasias Gengivais , Neoplasias Mandibulares , Idoso , Feminino , Fibroma Ossificante/diagnóstico , Fibroma Ossificante/cirurgia , Neoplasias Gengivais/diagnóstico , Neoplasias Gengivais/cirurgia , Humanos , Neoplasias Mandibulares/diagnóstico , Neoplasias Mandibulares/cirurgiaRESUMO
Se presenta un caso clínico de aspergilosis maxilar en un paciente inmunodeprimido. La aspergilosis de senos paranasales es una entidad poco común, sin embargo su frecuencia ha aumentado en los últimos años. Se puede manifestar de cuatro formas: alérgica, no-invasiva, invasiva y fulminante. La spergilosis invasiva fulminante es un proceso muy grave que afecta generalmente a pacientes inmunodeprimidos. Para evitar el elevado índice de mortalidad y morbilidad asociado con este proceso, es fundamental el realizar un diagnóstico y tratamiento precoz (AU)