Nadir Görülen Bir Olgu:Oral Fokal Müsinöz

Oral fokal müsinoz (OFM); etiyolojisi bilinmeyen, nadir görülen bir yumuşak doku lezyonudur. İlk kez 1974'te Tomich tarafından tanımlanmıştır.Genellikle dişeti veya sert damakta lokalize, asemptomatik saplı veya sapsız büyüme olarak ortaya çıkar. Kliniğimize üst çene damak bölgesinde bulunan dişeti büyümesi şikayetiyle başvuran 14 yaşındaki sistemik olarak sağlıklı kadın hastanın ağız içi muayenesinde, sağ birinci premolar ve birinci molar dişlerinin palatinal bölgesinde, dişetinden sert damağa uzanan, normal mukoza ile kaplı, yaklaşık 2 cm çapında, iyi sınırlı bir kitle saptandı.Hasta kitleyi 3-4 yıl önce fark ettiğini ve herhangi bir ağrı yaşamadığı belirtti.Lezyon lokal anestezi altında eksizyonel biyopsi ile alındı ve patoloji bölümüne gönderildi.Hastaya patolojik değerlendirme sonucu ile OFM tanısı konuldu. 1 yılın sonunda nüks görülmedi

A Rare Case Report: Oral Focal Mucinosis

Oral focal mucinosis (OFM); It is a rare soft tissue lesion of unknown etiology. It was first described by Tomich in 1974. It usually occurs as a localized, asymptomatic pedunculated or sessile growth on the gingiva or hard palate. In the intraoral examination of a 14-year-old systemically healthy female patient who applied to our clinic with the complaint of gingival enlargement in the maxillary palate region, a well-circumscribed mass of approximately 2 cm in diameter, covered with normal mucosa, extending from the gingival to the hard palate, in the palatal region of the right first premolar and first molar teeth. The patient stated that he noticed the mass 3-4 years ago and did not experience any pain.The lesion was taken with excisional biopsy under local anesthesia and sent to the pathology department. The patient was diagnosed with OFM as a result of pathological evaluation. No recurrence after 1 year.

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  • 1. Nilesh, K., Kothi, HS., Patil R., Pramod RC.Oral focal mucinosis of posterior maxilla. Journal of Oral and Maxillofacial Pathology: 2017;21(2):273.
  • 2. Tomich CE. Oral focal mucinosis: a clinicopathologic and histochemical study of eight cases. Oral Surg Oral Med Oral Pathol 1974;38:714–24.
  • 3. Silva Cunha, JL., Leite AA., de Castro Abrantes T., Vervloet LP., de Lima Morais, TM., de Oliveira Paiva Neto, G., ... & Soares CD.Oral focal mucinosis: A multi‐institutional study and literature review. Journal of Cutaneous Pathology, 2021;48(1);24-33.
  • 4. Cameron A., Webster JEN., Wicks E., Colbert SD.Oral focal mucinosis of the palate: a rare disease entity. BMJ Case Reports 2020;13(3):e230233.
  • 5. Lee JG., Allen G., Moore, L., Gue S.Oral focal mucinosis in an adolescent: a case report. Australian dental journal.2012;57(1):90-2.
  • 6. Buchner A, Merrell PW, Leider AS, Hansen LS. Oral focal mucinosis. Int J Oral Maxillofac Surg. 1990;19(6):337-40.
  • 7. Talacko AA., Lacy MF., Besly WJ., Aldred MJ.Oral focal mucinosis: report of two cases with ulceration. Pathology.2004;36(6):582-3.
  • 8. Madhusudhan AS, Nagarajappa D, Manjunatha BS, Saawarn Swati, Charan Babu HS. Oral focal mucinosis: report of two cases. Rev Odonto Cienc 2010;25:310–3.
  • 9. Higuchi Y., Tsushima F., Sumikura K., Sato Y., Harada H., Kayamori K., Ikeda, T. Diagnosis and treatment of oral focal mucinosis: a case series. Journal of Medical Case Reports.2019;13(1);108.
  • 10. Tekkesın MS, Yilmaz M, Olgaç V. Oral focal mucinosis: a case report and review of the literature. Turk Patoloji Derg. 2013;29(3):235-7.
  • 11. MacDonald-Jankowski DS, Yeung R, Lee KM, Li TK. Odontogenic myxomas in the Hong Kong Chinese; clinico-radiological presentation and systematic review. Dentomaxillofac Radiol 2002;32:71-83.
  • 12. Bharti V, Singh J. Oral focal mucinosis of palatal mucosa: A rare case report. Contemp Clin Dent. 2012;3(2):214-8.
Selcuk Dental Journal-Cover
  • ISSN: 2148-7529
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2014
  • Yayıncı: Selcuk Universitesi Dişhekimliği Fakültesi