Juvenile Psammomatoid Cemeto-ossifying Fibroma of Mandible: a Diagnostic dilemma

2021 ◽  
Vol 14 (3) ◽  
pp. e240952
Author(s):  
Santhosh Rao ◽  
Vandita Singh ◽  
Abdul Hafeez A ◽  
Subham S Agarwal
Keyword(s):  
Recurrence Rate ◽  
Benign Lesion ◽  
Malignant Lesion ◽  
Clinical Importance ◽  
Metastatic Potential ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Diagnostic Dilemma ◽  
Juvenile Ossifying Fibroma ◽  
Rare Phenomena

Psammomatoid Juvenile ossifying fibroma (PsJOF) is a rare benign fibro-osseous lesion characterised to grow to unusually large size very rapidly. Its usual presentation is in younger age group mostly children and predominately involving the Sino-Naso-Orbital region. Its aggressive nature gimmicks a malignant lesion but it is rather a benign lesion with a higher recurrence rate than the conventional ossifying fibroma but lacking metastatic potential. The high recurrence rate makes it essential that the lesion is not reconstructed immediately and thorough monitoring in the follow-up period. Lesion of such clinical importance needs to be diagnosed preoperatively to provide a better and radical surgical treatment option, but the variability in its presentation as seen in this case makes it even harder to diagnose. We aim to draw attention to the rare phenomena that PsJOF presents to help readers broaden their purview in diagnosis and thereby manage them accordingly.

scholarly journals Juvenile psammomatoid ossifying fibroma of maxilla: A case report

2022 ◽  
Vol 7 (4) ◽  
pp. 247-249
Author(s):  
Vasvani M Dimple ◽  
Irom Urmila ◽  
Tuladhar Alisha ◽  
Neeraj ◽  
Chug Ashi
Keyword(s):  
Recurrence Rate ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Complete Excision ◽  
Juvenile Ossifying Fibroma ◽  
Histological Variant ◽  
Oral Approach ◽  
Psammomatoid Ossifying Fibroma ◽  
Very High

Juvenile psammomatoid ossifying fibroma is histological variant of juvenile ossifying fibroma, a fibro-osseous tumor of craniofacial bones with benign but potentially aggressive nature. Complete excision of tumor is essential as it is associated with very high recurrence rate. We have reported here a case of juvenile ossifying fibroma- a psammomatoid variety present in right maxilla in a 13-year old male child. Complete excision of tumor was done through intra-oral approach with the 2.5 years of follow up shows no recurrence.Juvenile psammomatoid ossifying fibroma is fibro-osseous tumor of craniofacial bones with benign but potentially aggressive nature. Complete excision of tumor is essential as it is associated with very high recurrence rate.

Juvenile Ossifying Fibroma of a 15-Year-old Girl: A Case Report

2021 ◽  
Author(s):  
MA Awal
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Female Child ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Surgical Removal ◽  
Facial Deformity ◽  
Maxillofacial Region ◽  
Long Period ◽  
Juvenile Ossifying Fibroma

Juvenile ossifying fibroma is a locally aggressive, benign fibro-osseous tumor. It usually occurs in young children and arises in the maxillofacial region. It has a high recurrence rate. This pathology would be diagnosed and treated as early as possible because of its rapidly progressive and osteolytic nature which may complicate the surgical removal if left untreated over a long period. The present case is diagnosed as Juvenile ossifying fibroma involving the maxilla causing facial deformity, proptosis, and nasal obstruction in a 15-year-old female child.

scholarly journals Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Linda Kalliath ◽  
D. Karthikeyan ◽  
Nataraj Pillai ◽  
Deepthi Padmanabhan ◽  
Partheeban Balasundaram ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Nasal Obstruction ◽  
Histopathological Examination ◽  
Young Patients ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Imaging Findings ◽  
Juvenile Ossifying Fibroma ◽  
Adjacent Structures ◽  
Facial Swelling

Abstract Background Juvenile ossifying fibroma is an uncommon benign fibro-osseous tumor commonly involving the craniofacial skeleton of young patients with locally aggressive behavior and a high recurrence rate. Depending on the site of involvement it can present clinically as nasal obstruction, facial swelling, or proptosis. Case presentation Here we present a case of juvenile ossifying fibroma with an aneurysmal bone cyst component in the left nasal cavity in a 15-year-old boy who presented with gradually progressing left-sided nasal obstruction. Imaging findings were consistent with juvenile ossifying fibroma. Endoscopic resection of the tumor was done, and histopathological examination revealed it to be a psammomatoid variant of juvenile ossifying fibroma. Here we discuss its imaging findings, differential diagnosis, treatment options, and histopathological features. Conclusion Despite being a slow-growing benign tumor, early diagnosis and treatment are necessary due to its locally aggressive nature and invasion of adjacent structures. Complete surgical resection is the mainstay of treatment because of the high recurrence rate.

scholarly journals Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 45-51
Author(s):  
Deepa Das Achath ◽  
Abhishek Sanjay Ghule ◽  
Preeti Kanchan-Talreja ◽  
Sunanda Bhatnagar
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Histological Analysis ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Appropriate Treatment ◽  
Juvenile Ossifying Fibroma ◽  
Rare Case Report

ABSTRACT Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment, and, especially, follow-up the patient over the long term. How to cite this article Ghule AS, Achath DD, Kanchan- Talreja P, Bhatnagar S. Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report. J Contemp Dent 2016;6(1):45-51.

Juvenile Ossifying Fibroma in a Juvenile Diabetic: A Case Report with Surgical Management

2010 ◽  
Vol 1 (1) ◽  
pp. 59-64
Author(s):  
Jagadish Hosmani ◽  
Sujata M Byahatti ◽  
Ranganath Nayak ◽  
Ramakant Nayak ◽  
Bhushan Jayade
Keyword(s):  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Histopathological Diagnosis ◽  
Massive Growth ◽  
Juvenile Ossifying Fibroma ◽  
Histological Variants ◽  
Long Term Follow Up ◽  
Juvenile Diabetic

ABSTRACT Juvenile ossifying fibroma (JOF) is a highly aggressive uncommon fibro-osseous lesion occurring in the facial bones. Two histological variants of JOF, i.e. trabecular and psammomatoid have been reported. Here we present a case of a 20-year-old juvenile diabetic patient with massive growth on her left side of the jaw which was diagnosed as juvenile ossifying fibroma. This huge aggressive mass in the left side of the mandible had lead to complete lingual tilting of molars and premolars. After clinical and radiological examination, a biopsy led to the histopathological diagnosis of mixed variant of juvenile ossifying fibroma. The required surgical treatment (hemimandibulectomy) was undertaken under GA. The aggressive local behavior and high recurrence rate of JOF emphasizes the need for an early diagnosis, and appropriate radical treatment with long-term follow-up. One such case is reviewed and discussed in detail in the following article.

scholarly journals Rare case of a recurrent juvenile ossifying fibroma of the lumbosacral spine

2018 ◽  
Vol 28 (6) ◽  
pp. 647-653 ◽  
Author(s):  
Cecilia L. Dalle Ore ◽  
Darryl Lau ◽  
Jessica L. Davis ◽  
Michael M. Safaee ◽  
Christopher P. Ames
Keyword(s):  
Surgical Management ◽  
Case Reports ◽  
Benign Lesion ◽  
Spinal Column ◽  
Spinal Tumors ◽  
Ossifying Fibroma ◽  
Lumbosacral Spine ◽  
Spinal Reconstruction ◽  
Juvenile Ossifying Fibroma ◽  
High Propensity

Juvenile ossifying fibroma (JOF) is a rare benign bone tumor that occurs most frequently in the craniofacial bones of children and young adults. There are few case reports that describe its involvement outside the craniofacial skeleton, especially within the spinal column. While JOF is classified as a benign lesion, it may be locally aggressive and demonstrate a high propensity for recurrence, even after resection. Definitive surgical management may be challenging in naive cases, but it is particularly challenging in recurrent cases and when extensive spinal reconstruction is warranted. In this report, the authors describe the diagnosis and surgical management of a 29-year-old man who presented with a large recurrent sacral trabecular-subtype JOF. A review of literature regarding JOFs, management of recurrent primary spinal tumors, and sacral reconstruction are discussed.

The Use of Cryotherapy to Treat Infantile Digital Fibromatosis with a Functional Deficit: A Case Report

2018 ◽  
Vol 23 (02) ◽  
pp. 278-281 ◽  
Author(s):  
Aviv Kramer ◽  
Yaron Har-Shai ◽  
Isa Metanes ◽  
Hani Harel ◽  
Ronit Wollstein
Keyword(s):  
Case Report ◽  
Occupational Therapy ◽  
Recurrence Rate ◽  
Benign Lesion ◽  
Excellent Result ◽  
Surgical Excision ◽  
Therapeutic Modality ◽  
High Recurrence Rate ◽  
Functional Deficit ◽  
One Year

Infantile Digital Fibromatosis (IDF) is a rare benign lesion that can affect the fingers, often appearing at birth or early on in life. Treatment is controversial due to a high recurrence rate following surgical excision, and the tendency of the lesions to regress or resolve completely after the age of one year. Functional loss has rarely been described. We describe a case of IDF with joint contracture and significant functional deficit that was treated with cryotherapy and post procedural occupational therapy with an excellent result. Indications for treatment and cryotherapy as a therapeutic modality for IDF are discussed.

scholarly journals Trabecular Juvenile Ossifying Fibroma Management by Virtual Surgical Planning, Piezoelectric Surgery, and Simultaneous Patient Specific Implant (PSI) Reconstruction

2020 ◽  
Vol 4 (2) ◽  
pp. 39-46
Author(s):  
Henry Aldana ◽  
Martin Orozco ◽  
Leonardo Ordoñez ◽  
Clara Estrada ◽  
Camilo Mosquera
Keyword(s):  
Surgical Planning ◽  
Patient Specific ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Craniofacial Skeleton ◽  
Complete Excision ◽  
Juvenile Ossifying Fibroma ◽  
Piezoelectric Surgery ◽  
Children And Young Adults ◽  
The Right

Trabecular juvenile ossifying fibroma is a rare fibro-osseous lesion affecting the craniofacial skeleton occurring commonly in children and young adults. Tumor clinical behavior is highly aggressive with invasion of adjacent anatomic structures. Because of its high recurrence rate complete excision is necessary, but this one could be facial mutilating. This case report presents a 23-year-old female patient with a trabecular juvenile ossifying fibroma of the right maxilla, expanding into the orbit and zygomatic bone. The report also shows the multidisciplinary surgical management of this lesion with successful preservation of optic nerve function and facial aesthetics.

scholarly journals An analysis of the prevalence of peripheral giant cell granuloma and pyogenic granuloma in relation to a dental implant

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nieves Román-Quesada ◽  
Beatriz González-Navarro ◽  
Keila Izquierdo-Gómez ◽  
Enric Jané-Salas ◽  
Antonio Marí-Roig ◽  
...  
Keyword(s):  
Giant Cell ◽  
Dental Implants ◽  
Recurrence Rate ◽  
Pyogenic Granuloma ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Giant Cell Granuloma ◽  
Oral Implants ◽  
Time Restrictions ◽  
Peripheral Giant Cell Granuloma

Abstract Background The aim of the present investigation was to evaluate the literature recurrence of peripheral giant cell granuloma and pyogenic granuloma associated with dental implants. It’s important to know the characteristics present in these lesions and possible effects on the prognosis of dental implants. Methods An electronic search without time restrictions was done in the databases: PubMed/Medline. With the keywords "Granuloma" OR "Granuloma, Giant Cell" OR "peripheral giant cell" OR "Granuloma, Pyogenic” AND "Dental implants" OR "Oral implants”. Results After applying the inclusion and exclusion criteria, a total of 20 articles were included, which reported 32 lesions (10 pyogenic granulomas, 21 peripheral giant cell granulomas and one peripheral giant cell granuloma combined with peripheral ossifying fibroma, all associated with implants). According to our review, these lesions are more frequent in males and in the posterior region of the mandible. Both excision and curettage of the lesion, compared to only excision, presented similar recurrences (40%). Explantation of the implant was performed in 41% of cases without additional recurrences. The results are not statistically significant when comparing one lesion to the other in terms of explantation (p = 0.97), recurrence (p = 0.57) or bone loss (p = 0.67). Conclusions The main therapeutic approach is tissue excision. The lesions show a high recurrence rate (34.4%), which often requires explantation of the associated implant. This recurrence rate is not affected by curettage after excision.

scholarly journals Osteosarcoma of the femur in early adult: a case report

2020 ◽  
Vol 8 (4) ◽  
pp. 1589
Author(s):  
Reem H. Khamis ◽  
Thafar S. Al Safar ◽  
Nesrin K. Sulyman
Keyword(s):  
Case Report ◽  
Malignant Tumors ◽  
Early Stage ◽  
Benign Lesion ◽  
Malignant Lesion ◽  
Primary Health Care Centre ◽  
Ossifying Fibroma ◽  
Health Care Centre ◽  
Primary Health ◽  
Tumors Of Bone

Osteosarcomas are primary malignant tumors of bone that are characterized by the production of osteoid or immature bone by the malignant cells. Osteosarcomas are uncommon tumors. Most articles reveal difficulty in diagnosing osteosarcoma in early stage due to its resemblance to benign lesion. That’s why we prefer to do case report for documentation. Diagnosis of the tumor is important especially in early stages for improving prognosis. This case report is of a 21 years old female who presented at Primary Health Care Centre with swelling above right knee post trauma a month ago. Previously she was diagnosed as Non ossifying fibroma (which is a benign lesion and uncommon to change to malignant lesion) at the same site in 2017. 

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