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Benign Fibro-Osseous Lesions of the Craniofacial Complex A Review

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Abstract

Benign fibro-osseous lesions of the craniofacial complex are represented by a variety of disease processes that are characterized by pathologic ossifications and calcifications in association with a hypercellular fibroblastic marrow element. The current classification includes neoplasms, developmental dysplastic lesions and inflammatory/reactive processes. The definitive diagnosis can rarely be rendered on the basis of histopathologic features alone; rather, procurement of a final diagnosis is usually dependent upon assessment of microscopic, clinical and imaging features together. Fibrous dysplasia and osteitis deformans constitute two dysplastic lesions in which mutations have been uncovered. Other dysplastic bone diseases of the craniofacial complex include florid osseous dysplasia, focal cemento-osseous dysplasia and periapical cemental dysplasia, all showing a predilection for African descent individuals; although no specific genetic alterations in DNA coding have yet to be uncovered and most studies have been derived from predominant high African descent populations. Ossifying fibromas are neoplastic lesions with four subtypes varying with regard to behavior and propensity for recurrence after surgical excision. The clinicopathologic and molecular features of this unique yet heterogeneous group of diseases are reviewed.

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  1. Department of Pathology and Medicine, Arthur Dugoni School of Dentistry, University of the Pacific, San Francisco, CA, USA

    Roy Eversole

  2. Oral Pathology Diagnostic Services, San Diego, CA, USA

    Roy Eversole

  3. MHN Imaging Center, San Diego, CA, USA

    Roy Eversole

  4. Department of Otolaryngology, Head-Neck Surgery, University of California, Irvine, Irvine, CA, USA

    Lan Su

  5. Division of Oral Medicine, Oral Pathology and Orofacial Pain, University of California, Los Angeles, Los Angeles, CA, USA

    Lan Su

  6. Oral Pathology Services, Westlake Village, CA, USA

    Lan Su

  7. Washington University School of Medicine, St. Louis, MO, USA

    Samir ElMofty

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Eversole, R., Su, L. & ElMofty, S. Benign Fibro-Osseous Lesions of the Craniofacial Complex A Review. Head and Neck Pathol 2, 177–202 (2008). https://doi.org/10.1007/s12105-008-0057-2

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