Odontogenic myxoma is a benign, locally aggressive neoplasm that is known to have a high recurrence rate. Fibromyxoma is a variant of myxoma with a higher fibrous–myxoid tissue ratio. The peripheral type of odontogenic fibromyxoma still remains a diagnostic challenge, as very few cases are reported in the literature. One such case is reported here. A 54-year-old male patient reported to our OPD with a diffuse, slowly enlarging growth in the lower right side of the jaw without crossing the midline. Orthopantomogram was done that revealed generalized bone loss with cratering at the lesion site. Incisional biopsy was done along with immune histochemical evaluation for diagnosis confirmation. Surgical excision was done. No recurrence has been reported till now. These lesions clinically mimic any benign peripheral neoplasm. Hence, precise diagnosis is imperative before initiation of management protocols. Wide margin excision and rigid follow-up are recommended to minimize the chance of recurrence.
A note from history: landmarks in history of cancer, part 6. Cancer 2013;119(23):4058–4082. DOI: 10.1002/cncr.28319.
Fibromyxoma of bone. A report of 3 cases. Cancer 1964;17(9):1209–1213. DOI: 10.1002/1097-0142(196409)17:9<1209::AID-CNCR2820170918>3.0.CO;2-N.
Odontogenic fibromyxoma of left maxilla - a case report. J Int Oral Health 2010;2(4):79–86.
Odontogenic myxoma of maxilla. Indian J Dent Res 2008;19(1):62–65. DOI: 10.4103/0970-9290.38934.
The histological spectrum of myxoma, myxofibroma/fibromyxoma and odontogenic fibroma – “Chicken and Egg situation”. IOSR J Dent Med Sci 2012;1(2):3–5. DOI: 10.9790/0853-0120305.
Oral and maxillofacial pathology case of the month. Odontogenic myxoma. Tex Dent J 2003;120(7):616–621.
Odontogenic fibromyxoma of the maxilla: a case report and review of literature. Case Report Med 2011. 238712, https://doi.org/10.1155/2011/238712.
Odontogenic tumors in Mexico: a collaborative retrospective study of 349 cases. Oral Surg Oral Med Oral Pathol Oral Radiol and Endod 1997;84(6):672–675. DOI: 10.1016/S1079-2104(97)90371-1.
The paradental cyst. A specific inflammatory odontogenic cyst. Br Dent J 1976;141(1):9–14. DOI: 10.1038/sj.bdj.4803781.
Peripheral odontogenic myxoma: a review of the literature and report of two case. J Maxiloofac Oral Surg 2012;11(1):101–104. DOI: 10.1007/s12663-011-0194-0.
Odontogenic fibroma, myxoma (odontogenic myxoma, fibromyxoma), and central odontogenic granular cell tumor. Oral Maxillofac Surg Clin North Am 2004;16(3):359–374. DOI: 10.1016/j.coms.2004.03.004.
Diagnostic imaging for a case of maxillary myxoma with a review of the magnetic resonance images of myxoid lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84(4):449–454. DOI: 10.1016/S1079-2104(97)90047-0.
Computed tomography of odontogenic myxoma. Clin Radiol 2004;59(3):281–287. DOI: 10.1016/j.crad.2003.09.024.
Odontogenic myxoma of maxillary sinus: CT and MR-pathologic correlation. Eur J Radiol 2001;37(1):1–4. DOI: 10.1016/S0720-048X(00)00229-1.
Diagnostic Imaging of the Jaws. 1st ed., USA: Williams & Wilkins; 1995. pp. 348–349.
Odontogenic Tumors and Allied Lesions. Illinois: Quintessence Publishing Co Ltd; 2004.
Myxoma of the mandible with unusual radiographic appearance. J Oral Maxillofac Surg 1985;43(12):987–990. DOI: 10.1016/0278-2391(85)90018-7.
Odontogenic myxoma: report of a case with peculiar features. J Oral Maxillofac Surg 1991;49(1):91–94. DOI: 10.1016/0278-2391(91)90276-R.
Diagnostic Surgical Pathology of Head and Neck. London: WB Saunders Company Ltd; 2001. p. 6.
Odontogenic myxoma: a clinic pathological study of 33 cases. Int J Oral Maxillofac Surg 2004;33(4):333–337. DOI: 10.1016/j.ijom.2003.12.004.
Odontogenic myxoma of the jaws: a clinical, radiologic, immune-histochemical, and ultrastructural study. Oral Surg Oral Med Oral Pathol Radiol Endod 1996;82(4):426–433. DOI: 10.1016/S1079-2104(96)80309-X.
Fibromyxoma of the rib: report of a case. Surg Today 1999;29(5):475–477. DOI: 10.1007/BF02483045.
