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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Most patients are asymptomatic, and come to clinical attention when a mass is discovered incidentally on routine dental X-rays.

Pathology Outlines – Benign tumors / tumor-like conditions: juvenile ossifying fibroma

Plastic and Reconstructive Surgery. Abstract Juvenile aggressive ossifying fibroma is a rare benign but locally aggressive tumor with high recurrent potentials.

Received Jan 22; Accepted Mar 7. Published online Jul 1. The whole specimen was sent for histopathologic diagnosis. J Oral Maxillofac Surg owsifying There was no recurrence or complication during two years of follow-up period. InLichtenstein and Jaffe first introduced the term fibrous dysplasia [ 3 ].

Int J Oral Maxillofac Surg. Find articles by Bahar Keles.


Fibrous Dysplasia versus Juvenile Ossifying Fibroma: A Dilemma

A clinic-pathologic study of sixty-four cases. Oral hygiene was good. Psammomatoid and Trabecular juvenile ossifying fibroma of the craniofacial skeleton: Paediatric fibro-osseous lesions of the nose and paranasal sinuses. Fibroosseous lesions FOL represent a group of entities in which the normal bone is replaced by cellular fibrous fubroma. It was hypointense on T1-weighted images and hyperintense on T2-weighted images Figure 4.

The maxilla is the second most common location after the paranasal sinuses, while the mandible juvrnile temporal bone are infrequently affected.

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A case report with literature review. While the osteoblastoma is radiologically seen as cystic bone lesion with sclerotic boundary, abnormal soft tissue mass and ossifuing bone destruction is seen in the osteosarcoma, and cystic lesion connected to premolar or molar teeth is seen in odontogenic tumours [ 3 ]. The right palatine tonsil was deviated to the left.

Juvenile ossifying fibroma JOF is a rare variant of ossifying fibroma OFa benign fibro-osseous lesion It has aggressive behavior It has two histologic subtypes: Mixed radio-opaque and radiolucent lesion. Hematoxylin and eosin stained section showing cell-rich fibrous stroma containing strands of cellular osteoid without osteoblastic rimming with few trabeculae of a typical woven bone Click here to view. A careful assessment of its clinical, radiographic, and histopathologic features is necessary to overcome the diagnostic and therapeutic challenges associated with this lesion.


Histopathological features include irregular trabeculae pssifying woven bone, blending into the surrounding normal bone that lies within a cellular fibrous stroma. Juvenile ossifying fibroma of the mandible. Cellular connective tissue with spherical ossifyig.

There was no trauma in anamnesis of present patient, but there was an abscess previously drained from this area. Once the lesion is removed, the prognosis is excellent.

There was no tenderness, local rise in temperature, or paresthesia.

A case report with surgical management. Sitemap What’s New Feedback Disclaimer. JOF is a relatively rare fibro-osseous lesion of the jaws characterized by the early age of onset i.

Assessment with palpation showed a hard, nontender mass with smooth surface adhered to the mandible.