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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How to cite this URL: Most patients are asymptomatic, and come to clinical attention when a mass is discovered incidentally on routine dental X-rays. Juvenile aggressive cemento-ossifying fibroma: It is the standard of care to have a histopathologic confirmation for any suspected malignant lesion before administering any forms of chemotherapy because of the potential morbidity associated with these types of medications.
The heterogenic mass lesion caused destruction of the right ramus of mandible was seen on MRI. Post-operative recovery was uneventful, and patient was discharged after 1 week following surgery. Three-dimensional CT scan shows good jaws relationship and occlusion in the left side. oesifying
Cone beam computed tomography CBCT examination, axial section revealed expansion of the buccal and palatal cortical plates which had a well-defined margin with typical ground-glass trabecular pattern. This article has been cited by other articles in PMC. Excised surgical specimen Click here to view. Incomplete resection causes recurrence in aggressive tumours.
Diagnosis of these two lesions has to be done based on clinical, radiographic, and microscopic findings. J Oral Maxillofac Surg juvenioe The authors declare that there are no competing interests regarding the publication of this paper. In present paper 9 years old girl was presented. She also felt a pain and inflammation in this area. In our case, a male patient was affected. Int J Pediatr Otorhinolaryngol. Ossicying Formos Med Assoc. It affects people of all ages, but in contrast to the form seen at adults, the juvenile form is clinically more aggressive and tends to be recurrent [ 3 ].
There was no tenderness, local rise in temperature, or paresthesia. Arch Pathol Lab Juvejile. Spindled-to- stellate cells with eosinophilic cytoplasm fig. A clinicopathologic study of a distinct group of fibro-osseous lesions”. There was clear contrast retention following intravenous gadolinium injection. Click here for information on linking to our website or using our content or images.
Many times the curved-shaped bone fragments have a collagenous rim dibroma them. A corrigendum for this article has been published. Fibrous dysplasia affecting fiibroma jaws is an uncommon condition. Orthopantomograph showing mixed radiolucent— radiopaque lesion in the left mandibular premolar— molar region, with flecks of jyvenile, displaced 35 tooth bud, with downward bowing and thining of the inferior border of the mandible Click here to view.
Due to its distinct histological features, JOF has been recognized as a separate histopathological entity among the fibro-osseous group of lesions [ 9 ].
Discussion Juvenile aggressive ossifying fibroma JAOF is a relatively rare fibro-osseous lesion of the jaws characterized by the early age of onset usually less than 15location of the tumor, radiological appearance, and high recurrent potentials.
An analysis of 33 cases with emphasis on histopathological aspects. It is isointense on T1-weighted images and oszifying on T2-weighted images. Open in a separate window. Fibro-osseous lesions of the jaws. JOAF is a distinct clinical entity, often confused with malignant conditions because of its rapidly progressive and osteolytic nature. Pharyngeal air column is displaced to opposite site.
Fibrome cemento-ossificant ou dysplasia fibreuse? Click here for patient related inquiries.
The tumors are described as “shelling out” by the surgeon, which gives a well-circumscribed, smooth surface of tan, white, firm-gritty material. Moreover, an unusual clinical presentation with apparent aggressive and destructive growth may be expected when the lesion is encountered in a younger patient, especially below the age of 15 years [ 2426 ].
A case report and review of the literature. Well circumscribed lesion that can be radiolucent, mixed or radiopaque depending on the degree of calcification and presence of cystic areas On CT, well circumscribed lesion with mixed soft tissue and bone density May have thin “egg shell” periphery of bone Usually unilocular. Following intravenous injection of iodinated contrast, the lesion may show diffuse ossifyig enhancement [ 2 ].
New author database being installed, click here for details. Juvenile ossifying fibroma of the mandible. Images hosted on PathOut fibroja There was clear lingual expansion of the right mandible Figure 2.
Aggressive juvenile ossifying fibroma of the anterior mandible. Secondary mandibular reconstruction with autogenous grafts was delayed due to the rapid bone formation.
J Maxillofac Oral Surg ;9: