Literature revealed that this is a rare tumor of jaw. Prognosis are not very well described. Looking forward for any clinician/surgeon/researcher to share their experience in managing this tumor in an adult patient.
Myofibroma of the jaw is a benign tumor that occurs in childhood and adolescents with a preference to mandible, when occurring in the jaw bones. Most myofibromas of mandible are slow growing, produce unilocular well-defined radiolucent lesions and have a tendency to expand and perforate the cortical plate. Histologically, it is similar to myofibroma elsewhere in the oral cavity producing a biphasic/zoning pattern and must be differentiated from certain benign and malignant spindle cell neoplasms. Local-wide surgical excision is the treatment of choice. The tumor has no tendency for recurrence and has an excellent prognosis. A correct and early diagnosis of myofibroma in central lesions involving mandible can help avoid aggressive surgical procedures.
Aderito De Sousa Fontes, I also hope that after the surgery, its histopathology wouldn't turn out to be a sinister lesion. And no recurrence tendency is a good thing to observe.
Heber Isac Arbildo Vega, Thank you for the article you've shared. It has enlightened me in several aspects. There are still no large series to conclude its treatment outcome. Enucleation and curretage were the majority of the treatment approach. I think, local excision of the bone along with enucleation of the soft tissue mass might be considered. For surgical margin, in my opinion, it need not to be too wide.