ISPUB.COM The Internet Journal of Oncology Volume 3 Number 1 1 of 4 Massive Odontogenic Fibromyxoma Of Maxilla V Malhotra, A Sethi, S Malhotra, D Sareen, R Puri Citation V Malhotra, A Sethi, S Malhotra, D Sareen, R Puri. Massive Odontogenic Fibromyxoma Of Maxilla. The Internet Journal of Oncology. 2004 Volume 3 Number 1. Abstract We report the case of a 22-year-old male who presented to us with a large, hard swelling involving the right side of face with intranasal and intraoral extension of two years duration. A nasal biopsy revealed it to be a fibromyxoma. The patient underwent an extended total maxillectomy with complete excision of the mass. The patient is completely tumour free three years following surgery. INTRODUCTION Myxomas are uncommon tumours occurring mainly in the left atrium of the heart. Among the bones, maxilla and mandible are most commonly affected by this tumour. Although benign, these tumours are locally destructive and aggressive and may extend into the nasopharynx, nose, paranasal sinuses or the orbit. The treatment options range from enucleation to extensive radical surgery, reports of highly aggressive varieties of myxoma with a fatal outcome advocate the need for a radical primary resection. The massive expansion of the maxilla with extensive involvement of the nose, oral cavity and facial soft tissues prompted us to report this case. CASE REPORT A 22-year-old male presented to us with a gradually enlarging, painless, non-tender mass involving the right half of the face of two years duration. It was also accompanied by a mass in right nasal cavity and oral cavity since one year. There was no history of hemorrhage from the mass or a sudden increase in size of the mass. The patient received treatment from various local practitioners in the form of some oral medications without any relief. On examination, the patient was found to have a hard, non- tender, fixed mass involving the right half of the face. The mass measured 20cm. X 15cm. X 10cm. (figures 1 & 2). The patient also had a firm, non-tender, grayish pink mass involving the right nostril, hard palate and oral cavity. The orbit was apparently free from the mass with normal visual acuity. Figure 1 Figures 1 & 2: Massive facial deformity due to tumour. Figure 2 Routine blood and urine investigations and chest X-ray were normal. A biopsy from the nasal mass revealed a fibromyxoma (figure3).