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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">radiology</journal-id><journal-title-group><journal-title xml:lang="ru">Радиология — практика</journal-title><trans-title-group xml:lang="en"><trans-title>Radiology - Practice</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2713-0118</issn><publisher><publisher-name>Центральный научно-исследовательский институт лучевой диагностики</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">radiology-82</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ И КРАТКИЕ СООБЩЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS AND BRIEF REPORTS</subject></subj-group></article-categories><title-group><article-title>Редкий случай внутрикостной миофибромы нижней челюсти у трехлетнего пациента: клиническое наблюдение</article-title><trans-title-group xml:lang="en"><trans-title>A Rare Case of Intraosseous Myofibroma of the Mandible in a Three Year Old Patient: Clinical Observation</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2501-8552</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яковлев</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakovlev</surname><given-names>S. V.</given-names></name></name-alternatives><email xlink:type="simple">serg.yak@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3896-3756</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Топольницкий</surname><given-names>О. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Topolnitsky</surname><given-names>O. Z.</given-names></name></name-alternatives><email xlink:type="simple">proftopol@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7163-2553</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лежнев</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lezhnev</surname><given-names>D. A.</given-names></name></name-alternatives><email xlink:type="simple">lezhnevd@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0987-2617</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макеев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Makeev</surname><given-names>A. V.</given-names></name></name-alternatives><email xlink:type="simple">docartemmakeev@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А. И. Евдокимова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>28</day><month>12</month><year>2019</year></pub-date><volume>0</volume><issue>6</issue><fpage>115</fpage><lpage>123</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Яковлев С.В., Топольницкий О.З., Лежнев Д.А., Макеев А.В., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Яковлев С.В., Топольницкий О.З., Лежнев Д.А., Макеев А.В.</copyright-holder><copyright-holder xml:lang="en">Yakovlev S.V., Topolnitsky O.Z., Lezhnev D.A., Makeev A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.radp.ru/jour/article/view/82">https://www.radp.ru/jour/article/view/82</self-uri><abstract><p>Представляем уникальный случай миофибромы на нижней челюсти у трехлетнего пациента, которая клинически имитировала амелобластому и не имела никаких классических признаков поражения. Диагноз установлен только после проведения биопсии и патогистологического исследования, а 6-месячное динамическое наблюдение не выявило рецидива. Миофиброма (миофиброматоз) - редкое доброкачественное новообразование веретенообразных клеток, которое преимущественно встречается у младенцев и детей младшего возраста. В классическом варианте эти поражения описаны у детей младше 2 лет, присутствуют примерно у 2/3 при рождении и редко встречаются у взрослых. Большинство поражений локализуется в губе, слизистой оболочке щеки и языка; однако поражения, возникающие в челюстях, очень редки. Они представляют собой доброкачественную пролиферацию фибробластов и миофибробластов, содержащую двухфазное скопление веретенообразных клеток, окружающих центральную зону менее дифференцированных клеток, фокально расположенных по типу гемангиоперицитомы. Существуют противоречия в отношении аутосомно-доминантного, рецессивного наследования или спорадического возникновения. Редкость этого заболевания затрудняет диагностику для врачей-клиницистов, лучевых диагностов и патогистологов. Миофиброма имеет агрессивную клиническую картину и часто подвергается радикальному лечению из-за неправильного диагноза.</p></abstract><trans-abstract xml:lang="en"><p>Presented here is a unique case of myofibroma involving the mandible in a 3-year-old patient. Clinically it mimicked more like an ameloblastoma and didn’t exhibit any of its classical signs of a myofibroma. The diagnosis could be established only after complete excision of the lesion and histopathological examination. There was no recurrence after a follow-up period of 6 months. Myofibroma and myofibromatosis is a well-recognized spindle cell neoplasm that occurs predominantly in infants and young children. Classically these lesions are described in children younger than two years old, with 2/3 present at birth and rarely in adults. In the oral region, most lesions occur in the lip, buccal mucosa, and tongue; however, the lesions arising in the maxilla and mandible are very rare. These lesions are a benign fibroblast and myofibroblast proliferation containing a biphasic presentation of spindle-shaped cells surrounding a central zone of less differentiated cells focally arranged in a hemangiopericytoma like pattern. Controversy exists as to an autosomal dominant or recessive inheritance or to a sporadic occurrence. The rarity of this disease makes it difficult to diagnose for clinicians, radiation diagnosticians and histopathologists. Myofibroma has an aggressive clinical presentation and is often treated aggressively because of an inappropriate diagnosis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>нижняя челюсть</kwd><kwd>миофиброма</kwd><kwd>новообразование веретенообразных клеток</kwd><kwd>компьютерная томография</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Mandible</kwd><kwd>Myofibroma</kwd><kwd>Spindle Cell Neoplasm</kwd><kwd>Computed Tomography</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Shemesh S., Kosashvili Y., Sidon E., Fichman S. et al. Solitary intraosseous myofibroma of the tibia in an adult patient: A case report // J. Bone Oncol. 2014. № 3. P. 80-83.</mixed-citation><mixed-citation xml:lang="en">Shemesh S., Kosashvili Y., Sidon E., Fichman S. et al. Solitary intraosseous myofibroma of the tibia in an adult patient: A case report // J. Bone Oncol. 2014. № 3. 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