Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Print this page Email this page Users Online: 818

 Table of Contents  
CASE REPORT
Year : 2014  |  Volume : 3  |  Issue : 2  |  Page : 130-132

Pedunculated osteoma; a rarity


1 Associate Professor, Department of Pathology, GEMS Medical College, Srikakulam, Andhra Pradesh, India
2 Reader, Oral and Maxillofacial Pathology, St. Joseph Dental College, Eluru, Andhra Pradesh, India
3 Professor, Department of Pathology, Chettinad Medical College, Chennai, Tamil Nadu, India
4 Professor and HOD, Periodontia, RKDF Dental College, Bhopal, Madhya Pradesh, India

Date of Web Publication20-Jun-2014

Correspondence Address:
B Rajsekhar
Associate Professor, Department of Pathology, GEMS Medical College, Srikakulam, Andhra Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-8632.134888

Rights and Permissions
  Abstract 

Osteomas are benign tumors that consist of mature, compact, or cancellous bone. Osteomas that arise on the surface of bone are referred to as periosteal osteomas; whereas, those that develop centrally within bone are endosteal osteomas. Osteomas are rare benign tumors of bone commonly occurring in the maxillofacial skeleton. Most jaw osteomas occur in young adults and are generally asymptomatic, sessile, and solitary lesions. There is seldom any pain associated with this tumor. We herewith report a case of pedunculated osteoma arising from angle of mandible in an elderly lady.

Keywords: Angle of the mandible, pedunculated osteoma, Jaw osteomas


How to cite this article:
Rajsekhar B, Devi RS, Balamurugan S, Moon NJ. Pedunculated osteoma; a rarity. J NTR Univ Health Sci 2014;3:130-2

How to cite this URL:
Rajsekhar B, Devi RS, Balamurugan S, Moon NJ. Pedunculated osteoma; a rarity. J NTR Univ Health Sci [serial online] 2014 [cited 2019 Dec 7];3:130-2. Available from: http://www.jdrntruhs.org/text.asp?2014/3/2/130/134888


  Introduction Top


Osteomas are benign tumors that consist of mature, compact, or cancellous bone; [1] and can be of a peripheral, central, or extraskeletal type. [2],[3] There is seldom any pain associated with this tumor. [4] Osteoma arises from the craniomaxillofacial region, such as the sinus, temporal bone, or jaw bone. [2],[3] Osteomas that arise on the surface of bone are referred to as periosteal osteomas; whereas, those that develop centrally within bone are endosteal osteomas. [1] Peripheral osteoma arises from the periosteum and is commonly a unilateral, pedunculated mushroom-like mass. [2],[3],[5] Peripheral osteoma of the mandible is relatively uncommon, [2] and arise from the mandibular body, angle, condyle, or coronoid process. [3],[6] An elderly lady aged 53 presented with pedunculated osteoma arising from the angle of the mandible [7],[8] of 8 years duration.


  Case report Top


A 53-year-old lady presented with a swelling of 8 years duration in the parotid region, progressively increasing in size for the past 2 years. She complained of pain while chewing hard objects. On local examination, 8 × 6 cm stony hard swelling was present in the parotid region lifting the right ear lobe. Peroral examination revealed no significant pathology.

Investigations

On X-ray, a radiopaque, dense, bony lesion arising from the angle of mandible was noted [Figure 1]. Fine needle aspiration cytology (FNAC) attempted twice showed only formed elements of blood. The tumor was surgically excised and sent for histopathologic examination [Figure 2].
Figure 1: Pedunculated osteoma: X-ray

Click here to view
Figure 2: Peroperative

Click here to view


Postoperative

Postoperative was uneventful and the patient recovered well [Figure 3].
Figure 3: Postoperative

Click here to view


Macroscopic examination

Pedunculated stony hard mass measuring 8 × 6 cm with a pedicle attached to it at the base [Figure 4].
Figure 4: Macroscopic

Click here to view


Microscopic examination

Sections showed broad trabeculae of mature lamellar bone with prominent cement lines [Figure 5].
Figure 5: Microscopic

Click here to view



  Discussion and conclusion Top


Osteomas are benign tumors that consist of mature, compact, or cancellous bone; [1] and can be of a peripheral, central, or extraskeletal type. [2],[3] There is seldom any pain associated with this tumor. [4] Peripheral osteoma of the jaw is an osteogenic benign lesion of slow growth, which can be or not pedunculated. [9],[10] Peripheral osteomas are normally an incidental finding and they are asymptomatic, depending on the location and the size of the lesion, it can cause facial deformity, deviation of the mandible on opening, headache, bone pain, dysphagia, or exophthalmos. The most common symptom is pain [11] and in this case the patient complained of pain while chewing hard substances.

In the literature, case reports publishing osteomas in the mandible include 23 cases located in the body (four cases in the anterior region and 19 cases in the posterior region) followed by the condyle (18 cases), angle (nine cases), ascending ramus (seven cases), coronoid process (five cases), and sigmoid notch (one case). [11]

This female patient aged 53 years presented with pain on chewing hard substances and the swelling was present on the angle of the mandible which is pedunculated and the duration was of 8 years.

Follow-up

After 5 months from the postoperative day till to date, the patient is fine and there is no recurrence [Figure 6].
Figure 6: Follow-up

Click here to view


 
  References Top

1.Regezi JA, Sciubba JJ, Jordan RC. Benign Non-Odontogenic Tumor. Oral pathology: Clinical pathological correlations. 4 th ed., Ch. 12. Missouri: Saunder Publication; 2009. p 296.  Back to cited text no. 1
    
2.Woldenberg Y, Nash M, Bodner L. Peripheral osteoma of the maxillofacial region. Diagnosis and management: A study of 14 cases. Med Oral Patol Oral Cir Bucal 2005;10 Suppl 2:E139-42.  Back to cited text no. 2
    
3.Johann AC, de Freitas JB, de Aguiar MC, de Araujo NS, Mesquita RA. Peripheral osteoma of the mandible: Case report and review of the literature. J Craniomaxillofac Surg 2005;33:276-81.  Back to cited text no. 3
    
4.Rajendran R. Benign and Malignant tumors of oral cavity. Shafer Text Book of Oral Pathology. 6 th ed., Ch. 2. Amsterdam: Elsevier; 2009. p. 150-1.  Back to cited text no. 4
    
5.Furlaneto EC, Rocha JR, Heitz C. Osteoma of the zygomatic arch - report of a case. Int J Oral Maxillofac Surg 2004;33:310-1.  Back to cited text no. 5
    
6.Chen CT, Adriane K. Endoscopic resection of a mandibular body and condylar osteoma. Minim Invasive Ther Allied Technol 2008;17:323-5.  Back to cited text no. 6
    
7.Kondoh T, Seto K, Kobayashi K. Osteoma of the mandibular condyle: Report of a case with a review of the literature. J Oral Maxillofac Surg 1998;56;972-9.  Back to cited text no. 7
    
8.Siar CH, Jalil AA, Ram S, Ng KH. Osteoma of the condyle as the cause of limited-mouth opening: A case report. J Oral Sci 2004;46:51-3.  Back to cited text no. 8
    
9.Durighetto AF, de Moraes Ramos FM, da Rocha MA, da Cruz Perez DE. Peripheral osteoma of the maxilla: Report of a case. Dentomaxillofac Radiol 2007;36:308-10.  Back to cited text no. 9
    
10.Kaplan I, Calderon S, Bucher A. Peripheral osteoma of the mandible: A study of 10 new cases and analysis of the literature. J Oral Maxillofac Surg 1994;52:467-70.  Back to cited text no. 10
    
11.Reis DA, Israel C, Elie HJ, Márcia P, Reis KM. Osteoma of the zygomatic arch and mandible, Report of two cases. Estomatol Med Dent Cir Maxilofac 2012;53:103-7.  Back to cited text no. 11
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
Abstract
Introduction
Case report
Discussion and c...
References
Article Figures

 Article Access Statistics
    Viewed1504    
    Printed35    
    Emailed0    
    PDF Downloaded173    
    Comments [Add]    

Recommend this journal