Mandible / maxilla – Benign tumors / tumor-like conditions: juvenile ossifying fibroma. Juvenile ossifying fibroma is a rare, benign fibro-osseous tumour. In the light of a clinical case, the authors review the diagnosis, treatment and histological. Introduction. Juvenile ossifying fibroma is a rare benign fibro-osseous lesion. It is characterized by the early age of onset, the localization of the tumor, the.

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The lesion was excised along the line of cleavage.

Ann Med Health Sci Res. Fibrkma air column displaced to opposite site. FD is seen equally in males and females, with hugely varying phenotypes.

FD is slow growing, but, in our case, the lesion presented with muvenile rapid growth, which contradicted the typical clinical feature of fibrous dysplasia. Both genders are affected equally, with the paranasal sinuses most commonly affected. Trabecuar type of juvenile aggressive ossifying fibroma of the maxilla: Some authors in the past have considered ossifyong fibroma and ossifying fibroma adult or juvenile form to be two distinct histological entities on the basis that the former was an odontogenic tumor and the latter was not.

It usually shows a low density mass due to cystic changes on computed tomography CT scans.

Juvenile active ossifying fibroma

The nasal lesion was found to be in isolation from the maxillary lesion and was excised, labeled separately, and sent for histopathologic fubroma. Subscribe to Table of Contents Alerts. Histopathology – Reviews and Recent Advances.


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This causes abnormal differentiation of osteoblasts and production of dysplastic bone [ 9 ]. Benign fibro-osseous lesions have similar histopathological features with fibrous dysplasia, ossifying fibroma, and cemento-ossifiying dysplasia [ 12 ].

Contributed by Kelly R. Three-dimensional CT scan of the patient after right hemimandibulectomy. Indian J Dent Res. Juvenile ossifying fibroma of the mandible: Juvenile ossifying fibroma is considered a unique entity occurring primarily in children and adolescents.

Juvenile ossifying fibroma of the maxilla. Investigations Computerized tomographic findings showed a well-delineated osteolytic lesion, which had destroyed the right maxilla and with extension into the maxillary antrum [ Figure 2 ]. Expansile lesion of the left frontal sinus. Footnotes Source of Support: Orthopantomograph showing mixed radiolucent— radiopaque lesion in the left mandibular premolar— molar region, with flecks of calcification, displaced 35 tooth bud, with downward bowing and thining of the inferior border of the mandible Click here to view.

Case Reports in Dentistry

Results Because of large size of mandibular tumour, resultant expansion and destruction of mandibular cortex, the patient underwent right hemimandibulectomy using transmandibular approach. Author information Copyright and License information Disclaimer.

JOAF is treated by surgical excision and may recur if local resection is not complete. Int J Oral Maxillofac Surg. Following gadolinium injection, there juvemile homogeneous tumour appearance enhancement [ 2 ].

The incisional biopsy was taken from the lesion and the pathology process was fibrkma as JOF.

Fibrous Dysplasia versus Juvenile Ossifying Fibroma: A Dilemma

These findings suggest that there was acute lymphocytic leukaemia in the patient’s history. Home About Us Advertise Amazon. They presented a case of large cemento-ossifying fibroma involving the left mandible in a 15 year old male patient. Cellular connective tissue with spherical ossicles. Advanced Search Users Online: An increase in diffuse contrast is seen after intravenous injection [ 22 ]. Oral hygiene was owsifying. Aggressive psammomatoid ossifying fibromas of the sinonasal region: An expanded juvenile ossifying fibroma in maxillary sinus: Hereby, we report a case of fibrous dysplasia which presented a rapid growth in a 9-year-old boy.


The lesion presents itself in two forms: Published online Jul 1.

Pathology Outlines – Benign tumors / tumor-like conditions: juvenile ossifying fibroma

Fibro-osseous lesion, juvenile ossifying fibroma, ossifying fibroma. Active ossifying fibroma must be separated from fibrous dysplasia tibroma, cementoblastomaand meningioma. There was obliteration of the buccal vestibule, buccal cortical expansion, and slight palatal expansion Figure 1 b.

To receive news and publication updates for Case Reports in Dentistry, enter your email address in the box below. An incisional biopsy was performed which microscopically revealed irregularly shaped trabeculae of immature woven bone in a cellular, loosely arranged fibrous stroma. The aim of the surgical therapy is to prevent pathological fractures and to reduce bone deformities.

Epub May A clinical assessment of Burkitt’s lymphoma was made, and the child was subjected to several courses of chemotherapy without adequate histologic confirmation. Indian J Radiol Imaging.