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VOLUME 1 , ISSUE 1 ( April-June, 2010 ) > List of Articles

CASE REPORT

Juvenile Ossifying Fibroma in a Juvenile Diabetic: A Case Report with Surgical Management

Jagadish Hosmani, Sujata M Byahatti, Ranganath Nayak, Ramakant Nayak, Bhushan Jayade

Citation Information : Hosmani J, Byahatti SM, Nayak R, Nayak R, Jayade B. Juvenile Ossifying Fibroma in a Juvenile Diabetic: A Case Report with Surgical Management. World J Dent 2010; 1 (1):59-64.

DOI: 10.5005/jp-journals-10015-1012

Published Online: 01-06-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Juvenile ossifying fibroma (JOF) is a highly aggressive uncommon fibro-osseous lesion occurring in the facial bones. Two histological variants of JOF, i.e. trabecular and psammomatoid have been reported. Here we present a case of a 20-year-old juvenile diabetic patient with massive growth on her left side of the jaw which was diagnosed as juvenile ossifying fibroma. This huge aggressive mass in the left side of the mandible had lead to complete lingual tilting of molars and premolars. After clinical and radiological examination, a biopsy led to the histopathological diagnosis of mixed variant of juvenile ossifying fibroma. The required surgical treatment (hemimandibulectomy) was undertaken under GA. The aggressive local behavior and high recurrence rate of JOF emphasizes the need for an early diagnosis, and appropriate radical treatment with long-term follow-up. One such case is reviewed and discussed in detail in the following article.


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  1. Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas: I. a pathologic spectrum of 316 cases. Oral surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:301-09.
  2. Benign fibro-osseous lesions: A review of current concepts. Adv Anat Pathol 2001;8:126-43.
  3. Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg 1985;43:249-62.
  4. Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg 1993;51:828-35.
  5. World Health Organization classification of tumors. Pathology & genetics of head and neck tumours. Lyon: IARC Press 2005;319-22.
  6. Psammomatoid and trabecular juvenile ossifying fibroma of the craniofacial skeleton: Two distinct clinicopathologic entities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:296-304.
  7. World health organisation international histological classification of tumours. Histological typing of odontogenic tumours (2 ed). Berlin: Germany, Springer-Verlag; 1992;28.
  8. Odontogenic fibroma. Report of two cases. Oral Surg Oral Med Oral Pathol 1966;21:113-19.
  9. Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Pathol Med 1994;23:385-88.
  10. So-called “fibro-osseous lesions” of tumour origin. Biology confronts terminology. J Craniomaxillofac Surg 1980;18:57-72.
  11. Juvenile active ossifying fibroma: Its nature, dynamics and origin. Acta Otolaryngol Suppl 1991;448:1-40.
  12. Juvenile active ossifying fibroma of the mandible: A report of 2 cases. J Oral Maxillofac Surg 2001;59:439-44.
  13. Benign fibro-osseous lesions: A review of current concepts. Adv Anat Pathol 2001;8(3):126-43.
  14. Fibroma cemento-osificante mandibular. Medicina Oral 1999;4:504-06.
  15. Early aggresive cemento-ossifying fibroma: A diagnostic and treatment dilemma. Oral Surg Oral Med Oral Pathol 1987;63:132-36.
  16. Aggressive cemento-ossifying fibroma of the jaws. Oral Oncol 2000;36:129-33.
  17. Clinical pathology of fibro-osteocemental lesions of the craniofacial skeleton and jaw bones. Basel (Switzerland): Karger 1983;128-227.
  18. Histological typing of odontogenic tumours (2nd ed). Berlin Springer-Verlag; 1992;28.
  19. Benign nonodontogenic fibro-osseous lesions of the skull. Report of two cases. Oral Surg Oral Med Oral Pathol 1965;19:214-27.
  20. An ossifying fibroma of the mandible. Report of a case. Oral Surg Oral Med Oral Pathol 1960;13: 1288-94.
  21. Benign fibro-osseous jaw lesions of periodontal membrane origin. An analysis of 249 cases. Cancer 1968;22:861-78.
  22. Clinicopathological conference. Case 17, part 2. Juvenile ossifying fibroma. J Oral Surg 1976;34:907-10.
  23. Aggressive ossifying fibroma of the maxilla: Review of the literature and report of case. J Oral Surg 1979;37:276-86.
  24. Rapidly growing, expansile mass of the mandible in a 6-year-old boy. J Oral Maxillofac Surg 1998;56:866-71.
  25. Juvenile ossifying fibroma. An analysis of eight cases and a comparison with other fibro-osseous lesions. J Oral Pathol Med 2000;29:13-18.
  26. Juvenile ossifying fibroma. Atlas of diseases of the jaws. Copenhagen: Munksgaard; 1974;68.
  27. Soft tissue and bone lesions. In: Gnepp DG (Ed). Diagnostic surgical pathology of the head and neck. Philadelphia: WB Saunders, 2001;505-604.
  28. So-called “fibro-osseous lesions” of tumorous origin. Biology confronts terminology. J Craniomaxillofac Surg 1987;15:154-67.
  29. Juvenile ossifying fibroma of the mandible. An 8 years radiological follow-up. Dentomaxillofac Radiol 1998;27:363-66.
  30. Juvenile ossifying fibroma: A case study. Med Oral Patol Oral Cir buccal 2004;9:454-58.
  31. Greenberg, Michael Glick, Jonathen A Ship (Eds). A textbook of Burket's oral Medicine (11th ed). 2008, BC Decker Publishers, 506.
  32. Nonrandom chromosome breakpoints at Xq26 and 2q33 characterize cemento-ossifying fibromas of the orbit. Cancer 1995;76: 1853-59.
  33. Oral and Maxillofacial Pathology (3rd ed). Philadelphia: WB Saunders; 2002;648-50.
  34. Juvenile ossifying fibroma of the mandible. An 8 years radiological follow-up. Dentomaxillofac-Radiol 1998;27:363-66.
  35. Oral pathology: Clinical-pathologic Correlations (2nd ed). Philadelphia, PA, Saunders; 1993;205-09.
  36. Juvenile active ossifying fibroma: Its nature, dynamic and origin. Acta Otolaryngol Suppl 1991;488:1-40
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