Juvenile Psammomatoid Ossifying Fibroma: A Rare Case Report

Abstract

Juvenile Ossifying Fibroma (JOF) is a rare, non cancerous overgrowth of bone in the face or jaw. There are two subtypes of JOF: Juvenile Psammomatoid Ossifying Fibroma (JPOF) and Trabecular Juvenile Ossifying Fibroma (JTOF). JPOF shows a modest male predominance (1.2:1), an age range of 3 to 49 years, with a mean age of 17.7 years. The majority of instances are associated with the orbital bones and paranasal sinuses. Proptosis is the most typical clinical sign of JPOF. Other features include nasal blockage, headaches, facial oedema, discomfort, recurrent sinusitis, and missing teeth. The lesion is identified under a microscope by a fibroblastic stroma that contains small ossicles resembling psammoma bodies. The preferred first-line treatment for JPOF is total resection due to the disease’s potential for rapid growth and recurrence. Hereby, the authors present a rare case of JPOF ossifying fibroma occurring in the left mandibular molar region of a 50-year-old female who complained of continuous expansion of the lower jaw. Although benign, the potential for recurrence necessitates follow-up and can impact treatment planning. Early diagnosis and intervention are crucial for a favourable outcome.

Keywords

• cemento ossifying fibroma
• juvenile trabecular ossifying fibroma
• ossicles
• psammoma bodies