Juvenile ossifying fibroma. An analysis of eight cases and a comparison with other fibro‐osseous lesions

Williams, H.; Mangham, Chas; Speight, PM

doi:10.1034/j.1600-0714.2000.290103.x

Cited by 104 publications

(72 citation statements)

References 4 publications

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“…A fibrocellular stroma containing trabeculae of osteoid and woven bone was present in all cases discussed above. Osteoblastic rimming was present in all cases of JOF reported by William et al, 9 in some cases of JOF studied by Slootweg et al 14 and in the present case.…”

Section: Discussionsupporting

confidence: 54%

Rapidly maturing juvenile ossifying fibroma: a case report

Lohe

Degwekar²,

Bhowate³

et al. 2011

Dentomaxillofacial Radiology

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This report describes an unusual case of juvenile ossifying fibroma (JOF) in a 16-year-old female patient with a clinical presentation of a single large, well-circumscribed swelling on left side of the palate. Ossifying fibromas are normally slow growing benign lesions. Radiographically they can present as radiolucent, mixed or radiopaque lesions depending on the degree of maturity. A period of at least 6 years is required for the lesion to pass from the radiolucent to radiopaque stage. All previously reported cases of JOF have been either radiolucent or mixed density lesions, but our case is unusual because the lesion had shown apparently rapid transformation into an almost complete radiopaque stage at a very early age. Dentomaxillofacial Radiology (2011Radiology ( ) 40, 195-198. doi: 10.1259 Keywords: ossifying fibroma; radiopaque lesion; palate; osteoblastic rimming; cellular stroma A 16-year-old female reported to the Department of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Wardha, India, with the chief complaint of swelling on left side of the palate, which had been present for 1 year. The swelling was insidious in onset and gradually increased to its present size over a period of 1 year. The swelling was initially painless but pain had developed in the last 15 days. The pain was gradual in onset, moderate, localized and intermittent in nature. Pain was aggravated by touch, chewing and swallowing. As a result of the swelling the patient had difficulty chewing, swallowing and speaking. The patient had no history of trauma or discharge from the swelling. The patient was of moderate build and a healthy weight. Dental history was not significant. The general systemic examination did not reveal any major illness.Intraoral examination revealed a single large ovoid and well-circumscribed swelling of approximately 3 6 4 cm on the left side of the hard palate. It extended anteroposteriorly from the palatal surface of the left canine to the mesial surface of the left first molar and mediolaterally from the midline of palate to the palatine gingival margins of the upper left canine, premolars and first molar (Figure 1). The overlying mucosa was smooth and intact. The swelling was hard in consistency, tender on palpation and was fixed to underlying structures. There was no evidence of mobility, caries or tenderness of the teeth in the affected region of the jaw.Intraoral periapical radiographs of the upper left canine and premolar region showed a single large radioopaque lesion at the periapical region of the upper left canine, and first and second premolars of approximately 2.0 6 2.5 cm in size. The lamina dura was intact. A panoramic radiograph ( Figure 2) and a lateral maxillary occlusal view (Figure 3) revealed a single large radiopaque lesion in the upper left posterior region extending anteroposteriorly from the upper left central incisor to the first molar and superoinferiorly 0.5 cm away from the cervical line of the upper left lateral incisor, canine, first and second premolars to a...

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Section: Discussionsupporting

confidence: 54%

Rapidly maturing juvenile ossifying fibroma: a case report

Lohe

Degwekar²,

Bhowate³

et al. 2011

Dentomaxillofacial Radiology

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“…PM usually show immunoreactivity for EMA and vimentin [2,4]. Granados et al reported EMA immunoreactivity in OF [11]; in addition it was shown that OF also express SMA and CD10 with lack of expression of CD34, S100 and cytokeratins [11,21]. Most of meningiomas are immunoreactive for antibodies directed against S-100 protein; similarly, CD10 is expressed in a high percentage of PM; therefore, immunohistochemical stains may not be able to distinguish all cases and may lead to an erroneous diagnosis of PM.…”

Section: Discussionmentioning

confidence: 99%

Trabecular and Psammomatoid Juvenile Ossifying Fibroma of the Skull Base Mimicking Psammomatoid Meningioma

Bohn

Kalmar

Allen

et al. 2010

Head and Neck Pathol

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Ossifying fibroma (OF) is a fibro-osseous tumor that usually occurs in young people and arises in the craniofacial bones. We report a case of a 15-year-old boy who developed progressive proptosis and hypertelorism and was found to have a mid-face and skull base tumor, initially diagnosed as psammomatoid meningioma. The tumor recurred and the resected specimen revealed a unique OF having trabecular and psammomatoid features. The clinical, radiographic, histopathologic findings and differential diagnoses of the case are presented.

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“…Moreover, an unusual clinical presentation with apparent aggressive and destructive growth may be expected when the lesion is encountered in a younger patient. 18,19 In our patient, the lesion was initiated at a younger age but was neglected by the patient and/or was not detected at that time.…”

Section: Discussionmentioning

confidence: 99%

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

Ghule¹,

Achath²,

Kanchan-Talreja³

et al. 2016

Journal of Contemporary Dentistry

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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.

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Juvenile ossifying fibroma. An analysis of eight cases and a comparison with other fibro‐osseous lesions

Cited by 104 publications

References 4 publications

Rapidly maturing juvenile ossifying fibroma: a case report

Rapidly maturing juvenile ossifying fibroma: a case report

Trabecular and Psammomatoid Juvenile Ossifying Fibroma of the Skull Base Mimicking Psammomatoid Meningioma

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

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