Juvenile Psammomatoid Ossifying Fibroma — A Rare Entity

Abstract

Aim: Juvenile ossifying fibroma (JOF) is a rare fibro-osseous neoplasm in young children.Case Report: 14 year old boy presented with a painless swelling over the palatal region for two months duration which was clinically diagnosed as pyogenic granuloma.Discussion: JOF is defined as a variant of the ossifying fibroma, and latter includes juvenile psammomatoid ossifying fibroma (JPOF) and juvenile trabecular ossifying fibroma (JTOF). Both variants involve the craniofacial bones with the trabecular variant being more common in the jaws and the psammomatoid variant being more common in the paranasal sinuses. JPOF may exhibit erosion and invasion of the surrounding bone accompanied by rapid enlargement. JPOF can be distinguished from other maxillofacial fibro osseous lesions by its tendency to recur and its clinical mimicry of malignant bone tumors.