Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation

Abstract Background Juvenile ossifying fibroma is an uncommon benign fibro-osseous tumor commonly involving the craniofacial skeleton of young patients with locally aggressive behavior and a high recurrence rate. Depending on the site of involvement it can present clinically as nasal obstruction, fa...

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Main Authors: Linda Kalliath, D. Karthikeyan, Nataraj Pillai, Deepthi Padmanabhan, Partheeban Balasundaram, Gokul Kripesh
Format: Article
Language:English
Published: SpringerOpen 2021-08-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-021-00570-6
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author Linda Kalliath
D. Karthikeyan
Nataraj Pillai
Deepthi Padmanabhan
Partheeban Balasundaram
Gokul Kripesh
author_facet Linda Kalliath
D. Karthikeyan
Nataraj Pillai
Deepthi Padmanabhan
Partheeban Balasundaram
Gokul Kripesh
author_sort Linda Kalliath
collection DOAJ
description Abstract Background Juvenile ossifying fibroma is an uncommon benign fibro-osseous tumor commonly involving the craniofacial skeleton of young patients with locally aggressive behavior and a high recurrence rate. Depending on the site of involvement it can present clinically as nasal obstruction, facial swelling, or proptosis. Case presentation Here we present a case of juvenile ossifying fibroma with an aneurysmal bone cyst component in the left nasal cavity in a 15-year-old boy who presented with gradually progressing left-sided nasal obstruction. Imaging findings were consistent with juvenile ossifying fibroma. Endoscopic resection of the tumor was done, and histopathological examination revealed it to be a psammomatoid variant of juvenile ossifying fibroma. Here we discuss its imaging findings, differential diagnosis, treatment options, and histopathological features. Conclusion Despite being a slow-growing benign tumor, early diagnosis and treatment are necessary due to its locally aggressive nature and invasion of adjacent structures. Complete surgical resection is the mainstay of treatment because of the high recurrence rate.
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spelling doaj.art-a806c131de3f487db45093361d6208442022-12-21T22:27:37ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622021-08-015211510.1186/s43055-021-00570-6Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentationLinda Kalliath0D. Karthikeyan1Nataraj Pillai2Deepthi Padmanabhan3Partheeban Balasundaram4Gokul Kripesh5Department of Radiology, SRM Institutes for Medical ScienceDepartment of Radiology, SRM Institutes for Medical ScienceDepartment of ENT, SRM Institutes for Medical ScienceDepartment of ENT, SRM Institutes for Medical ScienceDepartment of Pathology, SRM Institutes for Medical ScienceDepartment of Pathology, SRM Institutes for Medical ScienceAbstract Background Juvenile ossifying fibroma is an uncommon benign fibro-osseous tumor commonly involving the craniofacial skeleton of young patients with locally aggressive behavior and a high recurrence rate. Depending on the site of involvement it can present clinically as nasal obstruction, facial swelling, or proptosis. Case presentation Here we present a case of juvenile ossifying fibroma with an aneurysmal bone cyst component in the left nasal cavity in a 15-year-old boy who presented with gradually progressing left-sided nasal obstruction. Imaging findings were consistent with juvenile ossifying fibroma. Endoscopic resection of the tumor was done, and histopathological examination revealed it to be a psammomatoid variant of juvenile ossifying fibroma. Here we discuss its imaging findings, differential diagnosis, treatment options, and histopathological features. Conclusion Despite being a slow-growing benign tumor, early diagnosis and treatment are necessary due to its locally aggressive nature and invasion of adjacent structures. Complete surgical resection is the mainstay of treatment because of the high recurrence rate.https://doi.org/10.1186/s43055-021-00570-6Juvenile psammomatoid ossifying fibromaFibro-osseous lesionsAneurysmal bone cystFluid–fluid levels
spellingShingle Linda Kalliath
D. Karthikeyan
Nataraj Pillai
Deepthi Padmanabhan
Partheeban Balasundaram
Gokul Kripesh
Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation
The Egyptian Journal of Radiology and Nuclear Medicine
Juvenile psammomatoid ossifying fibroma
Fibro-osseous lesions
Aneurysmal bone cyst
Fluid–fluid levels
title Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation
title_full Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation
title_fullStr Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation
title_full_unstemmed Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation
title_short Juvenile psammomatoid ossifying fibroma with fluid–fluid levels: an unusual presentation
title_sort juvenile psammomatoid ossifying fibroma with fluid fluid levels an unusual presentation
topic Juvenile psammomatoid ossifying fibroma
Fibro-osseous lesions
Aneurysmal bone cyst
Fluid–fluid levels
url https://doi.org/10.1186/s43055-021-00570-6
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AT natarajpillai juvenilepsammomatoidossifyingfibromawithfluidfluidlevelsanunusualpresentation
AT deepthipadmanabhan juvenilepsammomatoidossifyingfibromawithfluidfluidlevelsanunusualpresentation
AT partheebanbalasundaram juvenilepsammomatoidossifyingfibromawithfluidfluidlevelsanunusualpresentation
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