A typical case of juvenile psammamatoid ossifying fibroma: Case report with literature review and differential diagnosis

Abstract

Juvenile ossifying fibroma is an uncommon fibro-osseous lesion of jaws nature of short-term rapid growth characterized by excessive growth of bone, destruction, and more probable to reoccur. This lesion has more predominance to occur in younger individuals than older ones and mostly involves facial bones. The lesion mostly involves jaws, orbit, cranial bones, ethmoidal complex, skull base, and Calvaria. Radiographically appears as unilocular or multilocular appearance. The lesion was divided into psammomatoid and trabecular types histopathologically. The psammomatous type of juvenile psammomatoid ossifying fibroma principally involves the bones of the orbit and paranasal sinuses. This lesion is considered to have a higher recurrence rate than its counterparts, so it should be taken care of. This is a case report of a 17-year-old female patient referred to our clinic for a swelling complaint and was provisionally diagnosed as a periapical cyst. The radiograph of this swelling appeared as a multilocular mixed lesion upon viewing. An incisional biopsy was performed to confirm the diagnosis, ensuring it was a juvenile ossifying psammomatoid fibroma. The treatment for the lesion was surgical excision and succeeded by restoration. Lesions with different clinical presentations should be viewed cautiously, taken care of for a proper diagnostic approach, and should be followed for more extended periods to avoid recurrence.