Skip to main content

Advertisement

Log in

Juvenile Trabecular Ossifying Fibroma

  • Sine qua non Radiology-Pathology
  • Published:
Head and Neck Pathology Aims and scope Submit manuscript

Abstract

Benign fibro-osseous lesions within the maxillofacial region represent a heterogeneous group of benign entities with overlapping histologic features. Ossifying fibroma, the rarest of these entities, represents a true neoplasm. Juvenile ossifying fibroma (JOF) is considered an aggressive rapidly growing sub-type. It tends to occur in the first or second decades of life. Based on histological and clinical features it can further be classified into two variants, namely juvenile trabecular ossifying fibroma (JTOF) and juvenile psammomatoid ossifying fibroma (JPOF). JTOF features a proliferation of cellular fibroblastic tissue admixed with woven bone trabeculae with varying histologic presentations. Correlation with clinical and radiographic features is essential to differentiate it from other fibro-osseous lesions. A case of JTOF of the mandible is exemplified in this Sine Qua Non Radiology-Pathology article.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. El Mofty SK, Nelson B, Toyosawa S. Ossifying fibroma. In: El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ, editors. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: IARC Press; 2017. pp. 251–2.

    Google Scholar 

  2. Chi AC, Neville BW, Damm DD, Allen CM. Oral and maxillofacial pathology. 4th ed. St. Louis: Elsevier; 2016.

    Google Scholar 

  3. El-Mofty S. 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(3):296–304.

    Article  PubMed  Google Scholar 

  4. Slootweg PJ. Juvenile trabecular ossifying fibroma: an update. Virchows Arch. 2012;461(6):699–703. doi:10.1007/s00428-012-1329-5.

    Article  PubMed  Google Scholar 

  5. White SC, Pharoah MJ. Benign tumors. Oral radiology: principles and interpretation. 7th ed. Amsterdam: Elsevier; 2013. pp. 394–8.

    Google Scholar 

  6. Slootweg PJ, Panders AK, Koopmans R, Nikkels PG. Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Pathol Med. 1994;23(9):385–8.

    Article  CAS  PubMed  Google Scholar 

  7. Slootweg PJ, Muller H. Differential diagnosis of fibro-osseous jaw lesions: a histological investigation on 30 cases. J Craniomaxillofac Surg. 1990;18(5):210–4.

    Article  CAS  PubMed  Google Scholar 

  8. Slootweg PJ. Maxillofacial fibro-osseous lesions: classification and differential diagnosis. Semin Diagn Pathol. 1996;13(2):104–12.

    CAS  PubMed  Google Scholar 

  9. Foss RD, Fielding CG. Juvenile psammomatoid ossifying fibroma. Head Neck Pathol. 2007;1(1):33–4. doi:10.1007/s12105-007-0001-x.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Woo S-B. Oral pathology: a comprehensive atlas and text. 2nd ed. Amsterdam: Elsevier; 2017.

    Google Scholar 

  11. Han J, Hu L, Zhang C, Yang X, Tian Z, Wang Y, et al. Juvenile ossifying fibroma of the jaw: a retrospective study of 15 cases. Int J Oral Maxillofac Surg. 2016;45(3):368–76. doi:10.1016/j.ijom.2015.12.004.

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

No funding sources to disclose.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmed S. Sultan.

Ethics declarations

Conflict of interest

No conflicts of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of retrospective case report, formal consent is not required. The tumor tissue included in the manuscript was obtained as part of the standard of care for the patient and retrospectively collected for the case report.

Informed Consent

No identifer information is included in the case report, and the study meets the waiver criteria for the institutional review board of University of Maryland Baltimore.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sultan, A.S., Schwartz, M.K., Caccamese, J.F. et al. Juvenile Trabecular Ossifying Fibroma. Head and Neck Pathol 12, 567–571 (2018). https://doi.org/10.1007/s12105-017-0862-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12105-017-0862-6

Keywords

Navigation