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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Hereby, we report a case of fibrous dysplasia which presented a rapid growth in a 9-year-old boy. It is important to get complete excision as early in the disease process as possible. Benign fibro-osseous lesions have similar histopathological features with fibrous dysplasia, ossifying fibroma, and cemento-ossifiying dysplasia [ 12 ].
Based on the radiological findings, a radiological diagnosis of juvenile ossifying fibroma in relation to the maxillary right posterior region was given. juvenilr
Juvenile Ossifying Fibroma of the Mandible: a Case Report
Br J Oral Maxillofac Surg. Radiolucent lesion in the right maxilla. 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. Polyostotic forms, characterized by the involvement of more than one bone, include three different types: Abstract Juvenile aggressive ossifying fibroma is a rare benign but locally aggressive tumor with high recurrent potentials.
A case report with literature review. The CT scan of mandibular tumour juveniel a solid hypodense mass that enlarged the submandibular area, filled the pterygoid fossa and right masseter muscle region. The tumors are described as “shelling out” by the surgeon, which gives a well-circumscribed, smooth surface of tan, white, firm-gritty material. Differentiation of the FD lesions from juvenile ossifying fibroma is critical because the treatment protocols are entirely different in these two.
Conclusions Although juvenile ossifying fibroma is an uncommon clinical entity, its aggressive local behaviour and high recurrence rate means that it is fibrpma to make an early diagnosis, ossifing the appropriate treatment and, especially, follow-up the patient over the long-term. The Internet Journal of Otorhinolaryngology ; Noffke [ 21 ] after 8 year follow-up of a juvenile ossifying fibroma in the left mandible of a 4 year old boy demonstrated initial lack of radiological evidence of demarcation and subsequent eccentric enlargement, selective tooth displacement and a multilocular appearance in areas of active growth.
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Case Report A medically fit nine-year-old male patient visited our dental department with a chief complaint of a swelling in relation to the right upper back tooth region since 3 months which was initially small in size but gradually grew up to the present size.
Thus, the dental origin of these tumors was excluded. Well defined swelling obliterating the vestibule. CT axial image shows a lesion involving submandibular area and causing expansion and destruction of body and ramus of the right mandible arrow.
The monostotic form, characterized by the involvement of a single bone, which is the most common form.
Pathology Outlines – Benign tumors / tumor-like conditions: juvenile ossifying fibroma
To view the corrigendum, please click here. Find articles by Haci Hasan Esen. A case report and review of the literature.
The most prominent condition in the differential diagnosis is fibrous dysplasia. The initial histologic diagnosis of trabeculae juvenile ossifying fibroma was confirmed. Later, a compendious classification was suggested by Eversole et al. Expansile lesion of the left frontal sinus. Intraoral periapical radiographic IOPA examination revealed radiolucency involving enamel, dentin, and pulp in relation to upper right posterior deciduous teeth and erupting premolars periapically.
Aggressive psammomatoid ossifying fibroma is still employed by some, but is to be discouraged. Psammomatoid and Trabecular juvenile ossifying fibroma of the craniofacial ossifyingg Vision was, however, intact in the associated right eye.
Epub Oct 2. Br J Oral Maxillofac Surg. There has been so much confusion about the terminology of fibro-osseous tumors.
Juvenile active ossifying fibroma – Wikipedia
Intra-orally, the lesion had involved the whole of the right hemipalatal region with a little extension to the contralateral side. Juvenile active ossifying fibroma.
An incisional biopsy was performed which microscopically revealed irregularly shaped trabeculae of immature woven bone in a cellular, loosely arranged fibrous stroma. A rare case report. None, Conflict of Interest: The lesion is usually identified as a well demarcated, expansile mass with an ossified rim at the periphery. Based on the history and clinical presentation, a provisional diagnosis of juvenile ossifying fibroma in relation to the right buccal vestibule was given.
The most commonly affected facial bone is the maxilla, with facial asymmetry being the chief complaint. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. Fibrous dysplasia was considered in differential diagnosis. Home About Us Advertise Amazon.
Diagnosis of these two lesions has to be done based on clinical, radiographic, and microscopic findings. View at Google Scholar C. Assessment with palpation showed a hard, nontender mass with smooth surface adhered to the mandible. The recurrences are highest in sinus tumors.
Related articles Fibro-osseous lesion juvenile ossifying fibroma ossifying fibroma.