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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Juvenile Aggressive Ossifying Fibroma of the Maxilla: A Case Report and Review of the Literature

Histopathology – Reviews and Recent Advances. Classical ossifying fibroma, psammomatoid juvenile ossifying fibroma, and trabecular juvenile ossifying fibroma. Received Jan 22; Accepted Mar 7.

Sinonasal psammomatoid ossifying fibromas: On account of the variable clinical behavior, a highly aggressive nature, and a high tendency for recurrence, early detection and prompt treatment is required.

Fibrous dysplasia FD is a condition characterized by excessive proliferation of bone forming mesenchymal cells which can affect one bone monostotic type or multiple bones polyostotic type.

Although juvenile ossifying fibroma is an uncommon clinical entity, its aggressive local behaviour and high recurrence rate juevnile that it is important to make an early diagnosis, apply the appropriate treatment and, especially, follow-up the patient over the long-term. Intraoperative photograph showing exposed tumour using a transmandibular approach.

The initial histologic diagnosis of trabeculae juvenile ossifying fibroma was confirmed. More than half of the right maxillary sinus was involved Figure 3 a. Images hosted on other servers: On general examination, there was mild palor and weight loss, but there was no difficulty in swallowing. Clinicopathologic and radiologic correlation of ossifying fibroma and juvenile ossifying fibroma – An institutional study of 22 cases.


Furthermore, osteblastoma, osteosarcoma and odontogenic tumours should be considered in the differential diagnosis of JOF.

Indian J Radiol Imaging. Aggressive psammomatoid ossifying fibromas of the sinonasal region: Psammomatoid JOF has aggressive behaviour and it has a very strong tendency to recur [ 151617 ]. The patient was rehabilitated by fabrication of an obturator to cover the surgical defect.

There were no assessed pathological changes of the mucous membrane in the tumour region. There was no recurrence or complication during two years of follow-up period. Juvenile psammomatoid ossifying fibroma and juvenile trabecular ossifying fibroma.

Juvenile Ossifying Fibroma of the Mandible: a Case Report

By microscopic evaluation, the tumors are composed of a variably cellular stroma make up of spindled to stellate fibroblast-like cells. Bones which bear the brunt are femur, tibia, ribs, and facial bones. Case report in a young juvenjle. Corrected and republished in: Three forms of ossifying fibromas have now been distinguished: Fibrous dysplasia of bone was first described by Von Recklinghausen in Treatment A hemi-maxillectomy was planned.

CT and MR findings. Psammomatoid juvenile ossifying fibroma: Despite of that the oral functions of the patient remained adequate. Conventional ossifying fibromas are usually slow growing and generally seen ossifjing the third and forth decades of life [ 67 ].

A few cases of facial trauma have been suggested as a possible etiologic factor in the JOF development [ 10 ].

Fibrous Dysplasia versus Juvenile Ossifying Fibroma: A Dilemma

The mouth opening of the patient was normal and there were no decayed teeth in the lesion area, but there was malocclusion. J Oral Pathol Med. However, after the incissional biopsy obtained from the lesion the final diagnosis of JOF was recognized. Long-term follow-up jvuenile necessary owing to its locally aggressive nature and high recurrent potentials. There was no sign of palatal involvement Iuvenile 2 b. Introduction Fibrous dysplasia is a developmental benign bone lesion characterized by the replacement of normal bone by excessive proliferation of cellular fibrous connective tissue which is slowly replaced by firoma, osteoid, or cementum-like material [ 1 ].


Abstract Fibrous dysplasia FD is a condition characterized by excessive proliferation of bone forming mesenchymal cells which can affect one bone monostotic type or multiple bones polyostotic type. The nasal lesion was found to be in isolation from the maxillary lesion and was excised, labeled separately, and sent for histopathologic diagnosis.

Cemento-ossifying fibroma with mandibular fracture. Retrieved from ” https: Soft tissue mass in superior left maxilla fig.

Advances in Anatomic Pathology. They are treated with simple curettage and the recurrence is rare [ 8 ]. This article is an orphanas no other articles link to it.

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Postoperative orthopantomograph of the patient Click here to view. Histologically, JOF is characterized by the presence of cellular fibrous stroma, immature bony strands, and cement particles. A clinicopathologic study of 28 cases. The skin over the swelling appeared normal Figure 1 a. Contemp Clin Dent ;3: The monostotic form, characterized by the involvement of a single bone, which is the most common form. The JOF is a fibro-osseous lesion that occurs in the facial bones [ 12 ]. Juvenile aggressive juvenioe fibroma is a rare clinical entity often misdiagnosed and mismanaged because of its juvrnile progressive and osteolytic nature.