Collagenous fibroma (desmoplastic fibroblastoma) of the palate : A case report

Collagenous fibroma is an uncommon benign soft tissue lesion that has a wide anatomic distribution. We describe a case of a collagenous fibroma that appeared in the left soft and hard palate of a 37-year-old woman as a 5.0-cm solitary, firm nodule. Microscopically, it was composed of stellate or spi...

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Veröffentlicht in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2001, Vol.91 (1), p.80-84
Hauptverfasser: ALVES MESQUITA, Ricardo, OKUDA, Edson, JORGE, Waldir Antonio, CAVALCANTI DE ARAUJO, Vera
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container_title Oral surgery, oral medicine, oral pathology, oral radiology and endodontics
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creator ALVES MESQUITA, Ricardo
OKUDA, Edson
JORGE, Waldir Antonio
CAVALCANTI DE ARAUJO, Vera
description Collagenous fibroma is an uncommon benign soft tissue lesion that has a wide anatomic distribution. We describe a case of a collagenous fibroma that appeared in the left soft and hard palate of a 37-year-old woman as a 5.0-cm solitary, firm nodule. Microscopically, it was composed of stellate or spindle-shaped cells embedded in hypovascular fibrous stroma. Entrapment of fat was focally identified at the edges. Mitotic figures and tumor necrosis were absent. Tumor cells were immunopositive for vimentin, and a few cells were positive for alpha-smooth muscle actin. Tumor extracellular matrix was immunopositive for type I and type III collagen, as well as for fibronectin. These findings satisfied the diagnostic criteria for collagenous fibroma (desmoplastic fibroblastoma). This case, to our knowledge, represents the first report of this tumor in the mouth. The differential diagnosis of fibrous lesions of the mouth is discussed.
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subjects Adult
Biological and medical sciences
Collagen - analysis
Dentistry
Female
Fibroma, Desmoplastic - pathology
Humans
Immunohistochemistry
Medical sciences
Otorhinolaryngology. Stomatology
Palatal Neoplasms - pathology
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Collagenous fibroma (desmoplastic fibroblastoma) of the palate : A case report
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