Babaji HV. Email: moc. Abstract Juvenile ossifying fibroma is an uncommon fibro osseous neoplasm at a younger age. It is a well-defined clinical and histological lesion. This lesion is locally invasive and spreads quickly. Early detection and complete surgical excision of this lesion is essential since it has high recurrence rate.
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E-mail: ku. This article has been cited by other articles in PMC. Abstract Juvenile aggressive ossifying fibroma is a rare benign but locally aggressive tumor with high recurrent potentials. Juvenile aggressive ossifying fibroma poses diagnostic challenges because of its rapidly growing nature.
A 7-years-old female child presented to the pediatric unit of our institution with a 9-month history of right maxillary tumor. The importance of early recognition and adequate management is highlighted. Keywords: Aggressive, Juvenile, Ossifying fibroma Introduction Juvenile aggressive ossifying fibroma JAOF is a rare benign but locally aggressive tumor with high recurrent potentials. JOAF is a distinct clinical entity, often confused with malignant conditions because of its rapidly progressive and osteolytic nature.
Case Report A 7-year old female child presented to the pediatric unit of our institution with a 9-month history of right maxillary tumor. The child was later referred to the maxillofacial unit after about 2 months of unsuccessful management by the pediatricians. Clinical examinations On presentation, there was an expansile lesion, measuring about 12 cm by 8 cm in its greatest diameter, involving the right maxilla with proptosis of the right eye and moderate hypertelorism.
Vision was, however, intact in the associated right eye. The right nostril was completely obstructed by an exophytic growth, and thus patient had to breathe via the left side [ Figure 1 ]. Intra-orally, the lesion had involved the whole of the right hemipalatal region with a little extension to the contralateral side.
The associated teeth had little or no displacement but with grade 1 mobility. On general examination, there was mild palor and weight loss, but there was no difficulty in swallowing.
Juvenile Aggressive Ossifying Fibroma of the Maxilla: A Case Report
Classification[ edit ] This tumor has gone by several names in the past, but active ossifying fibroma is similar to juvenile active ossifying fibroma, except it does not develop in young patients. Aggressive psammomatoid ossifying fibroma is still employed by some, but is to be discouraged. The lesion is usually identified as a well demarcated, expansile mass with an ossified rim at the periphery. Calcifications are noted throughout. MRI shows a variable finding depending on T1 or T2 weighted images, dependent on the amount of bone to fibrous connective tissue ratio.
Juvenile active ossifying fibroma
E-mail: moc. Abstract Juvenile ossifying fibroma is a rare fibro-osseous lesion containing variable amount of calcified masses, which resembles bone or cementum within a fibrocellular connective tissue stroma. It has variable clinical behavior, highly aggressive in nature including invasion and destruction of adjacent anatomic structures with a strong tendency to recur. We reported a year-old female patient with a growth in the upper left vestibule region extending from canine to molar region with clinical, histopathological, and radiological features are presented. Surgical management was done, and regular follow-up was advised. Keywords: Benign neoplasm, juvenile ossifying fibroma, psammoma Introduction Juvenile ossifying fibroma JOF is an uncommon benign osteogenic neoplasm. In reviews published by Slootweg et al.