1
|
Nnko KA, Pima RT, Damas S, Mremi A. Management of ossifying fibroma of the bone of the maxilla: a case report and review of the literature. J Surg Case Rep 2024; 2024:rjae198. [PMID: 38572287 PMCID: PMC10984833 DOI: 10.1093/jscr/rjae198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Accepted: 03/11/2024] [Indexed: 04/05/2024] Open
Abstract
Ossifying fibroma (OF) is a slow-growing benign fibro-osseous neoplasm. It is mostly odontogenic in origin, and it arises in the jaws, particularly the mandible. OF is characterized by the production of bone and cementum-like calcifications in a fibrous stroma. OF reports of the bone of the maxilla are uncommon. Diagnosing OF can be challenging due to the considerable overlap of clinico-pathological characteristics with those of other neoplasms. Herein, the authors describe a case report OF in a 26-year-old male who presented with a huge fibro-osseous tumor of the maxilla. Histopathology established the diagnosis of maxillary OF. The tumor was surgically removed via a Weber-erguson approach with satisfactory functional and cosmetic results. No recurrence has been found after one year of follow-up. Clinical, radiological, and pathological characteristics, as well as surgical treatment approaches, are further discussed. This is one of a few documented cases of maxillary OF in our setting.
Collapse
Affiliation(s)
- Kanankira A Nnko
- Department of Dental Surgery, Kilimanjaro Christian Medical Centre, Box 3010, Moshi, Tanzania
- Faculty of Medicine, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania
| | - Raphael T Pima
- Department of Dental Surgery, Kilimanjaro Christian Medical Centre, Box 3010, Moshi, Tanzania
| | - Sosthenes Damas
- Department of Dental Surgery, Kilimanjaro Christian Medical Centre, Box 3010, Moshi, Tanzania
| | - Alex Mremi
- Faculty of Medicine, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania
- Department of Pathology, Kilimanjaro Christian Medical Centre, Box 3010, Moshi, Tanzania
| |
Collapse
|
2
|
Hou W, Li X, Tan H, Zhang D. A rare case of recurrent juvenile psammomatoid ossifying fibroma occurring in the maxillary sinus. Asian J Surg 2023; 46:5103-5105. [PMID: 37414684 DOI: 10.1016/j.asjsur.2023.06.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 06/15/2023] [Indexed: 07/08/2023] Open
Affiliation(s)
- Wenqun Hou
- Department of Otorhinolaryngology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, China
| | - Xiaodan Li
- Department of Otorhinolaryngology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, China
| | - Huazhang Tan
- Department of Otorhinolaryngology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, China.
| | - Dongdong Zhang
- Department of Oncology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, China.
| |
Collapse
|
3
|
Nedelec M, Pouget C, Etienne S, Brix M. Juvenile trabecular ossifying fibroma: A case of extensive lesion of the maxilla. Int J Surg Case Rep 2023; 111:108620. [PMID: 37703694 PMCID: PMC10502336 DOI: 10.1016/j.ijscr.2023.108620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 07/30/2023] [Accepted: 07/31/2023] [Indexed: 09/15/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Juvenile trabecular ossifying fibroma is a rare benign tumor of childhood affecting the facial bones rarely described in literature. Its aggressive growth and high tendency of recurrence make it a real challenge for diagnosis and care. CASE PRESENTATION This article presents a case of an extensive juvenile trabecular ossifying fibroma of the maxilla in a 14-year-old boy, which required surgical intervention with immediate bone reconstruction using an autogenous graft (iliac crest). No recurrence has been found after two and a half years of follow-up. CLINICAL DISCUSSION Common symptoms of juvenile trabecular ossifying fibroma include painless swelling, facial asymmetry, jaw deformity and teeth displacement. Differential diagnosis should consider other forms like psammomatoid ossifying fibroma, osteofibrous dysplasia, fibrous dysplasia, ameloblastoma, odontoma, or even poorly differentiated carcinoma. CONCLUSION Currently, there is no recommendation or consensus for the treatment of juvenile trabecular ossifying fibroma. The objective of treatment is also to preserve growth and development and conserve the nervous structure and the function, as mastication, vision. Early diagnosis and appropriate care are essential to prevent morphological and functional defects in young patients. Regular and long-term follow-up is essential due to the high recurrence rate.
Collapse
Affiliation(s)
| | - Celso Pouget
- Dept of anatomopathology, University Hospital, Nancy, France
| | - Simon Etienne
- Medical Professor Dept. of Oral and Maxillofacial Surgery, and plastic surgery, University Hospital, Nancy, France
| | - Muriel Brix
- Medical Professor Dept. of Oral and Maxillofacial Surgery and plastic surgery, university hospital, Nancy, France
| |
Collapse
|
4
|
Wang Y, Du J, Jiang Z, Meng J. Transformation of Cemento-Ossifying Fibroma into Osteosarcoma after Radiotherapy and Nine Endoscopic Surgeries. EAR, NOSE & THROAT JOURNAL 2023; 102:24-27. [PMID: 35575211 DOI: 10.1177/01455613221101944] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Cemento-ossifying fibromas (COFs) are benign fibro-osseous tumors usually found in the mandible and maxilla that can show malignancy in rare situations. COFs usually grow slowly and asymptomatically until they produce local bulges, pain, headaches, and visual impairment, and have a Ki-67 index within 3%, even in aggressive and recurrent cases. Surgical resection can usually provide a satisfactory prognosis. However, no cases of COF transforming into osteosarcoma have been reported. We present a case of COF involving a 58-year-old woman whose initial symptom was hearing loss in the right ear accompanied by tinnitus. Enhanced magnetic resonance imaging revealed a 3.1 cm x 3.2 cm mass centered on the right pterygoid process of the sphenoid bone. Postoperative pathology revealed a COF with a high Ki-67 index (8%-10%). Over the next two years, the tumor relapsed repeatedly. The patient underwent nine endoscopic surgeries and radiotherapy. The sixth postoperative biopsy showed that the COF had transformed into an osteosarcoma. The patient subsequently experienced respiratory and cardiac arrests and was receiving treatment in the intensive care unit with a poor prognosis at the time of writing this manuscript. Thus, a high Ki-67 index may be a risk factor for malignant transformation for COFs.
Collapse
Affiliation(s)
- Yang Wang
- Department of Oto-Rhino-Laryngology, West China Hospital, 34753Sichuan University, Chengdu, China
| | - Jintao Du
- Department of Oto-Rhino-Laryngology, West China Hospital, 34753Sichuan University, Chengdu, China
| | - Zihan Jiang
- Department of Oto-Rhino-Laryngology, West China Hospital, 34753Sichuan University, Chengdu, China
| | - Juan Meng
- Department of Oto-Rhino-Laryngology, West China Hospital, 34753Sichuan University, Chengdu, China
| |
Collapse
|
5
|
Intraoral Approach for Surgical Treatment of Psammomatoid Juvenile Ossifying Fibroma. J Craniofac Surg 2020; 31:e306-e309. [PMID: 31934971 DOI: 10.1097/scs.0000000000006171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Psammomatoid juvenile ossifying fibroma (PJOF) is a rare benign tumor that usually affects the paranasal sinuses, orbit, and skull. In most cases, extensive incisions are necessary for full access to the tumor site. The aim of this paper is to report a case of extensive PJOF in which an intraoral surgical approach was performed with complete excision of the tumor. A female patient, 18-year old had a deforming volume increase in the region of the left facial middle third with an approximate evolution time of 2 years. She complained of headache, epiphora in the left eye, and total obstruction of the left nostril. Extraoral examination showed facial asymmetry with dystopia, ocular proptosis, and considerable sclera exposition of the left eye. Tomography examination showed a mixed aspect lesion on the left side of the face, well delimited. The intraoral surgical approach was chosen for the excision of the lesion. Under general anesthesia and nasotracheal intubation, total resection was performed, followed by exodontia of the directly involved teeth. In the definitive histopathological examination, the diagnosis was confirmed. The patient is currently with 2 years and 6 months of postoperative follow-up and has good healing of intraoral surgical wounds and stable occlusion. Extraoral examination showed harmonic projection of the facial middle third, but still with excessive exposure of the sclera of the left eye due to the defect in the orbital floor. The surgical treatment of PJOF was possible by intraoral approach, even taking into account the limitations of the access and the complexity of the anatomy of the facial bones involved.
Collapse
|
6
|
Madrigal RG, Friedemann MC, Vallone JM, Ruoff CM, Vallone LV, Laughrey T, Rech RR, Coleman MC. Ossifying fibroma as a cause of blindness in a 5‐year‐old Quarter Horse gelding. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.12944] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- R. G. Madrigal
- Department of Veterinary Large Animal Clinical Sciences Texas A&M UniversityCollege Station Texas USA
| | - M. C. Friedemann
- Department of Veterinary Pathobiology Texas A&M UniversityCollege Station TexasUSA
| | - J. M. Vallone
- Department of Veterinary Large Animal Clinical Sciences Texas A&M UniversityCollege Station Texas USA
| | - C. M. Ruoff
- Department of Veterinary Large Animal Clinical Sciences Texas A&M UniversityCollege Station Texas USA
| | - L. V. Vallone
- Department of Veterinary Small Animal Clinical Sciences College of Veterinary Medicine and Biomedical Sciences Texas A&M University College StationTexas USA
| | | | - R. R. Rech
- Department of Veterinary Pathobiology Texas A&M UniversityCollege Station TexasUSA
| | - M. C. Coleman
- Department of Veterinary Large Animal Clinical Sciences Texas A&M UniversityCollege Station Texas USA
| |
Collapse
|
7
|
Rahmani M, Hendi K, Dalfardi S, Larijani A, Alimohamadi M. Juvenile Psammomatoid Ossifying Fibroma of the Orbital Roof: A Rare Cause of Proptosis among Children. Pediatr Neurosurg 2020; 55:163-168. [PMID: 32756056 DOI: 10.1159/000508691] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 05/14/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Juvenile psammomatoid ossifying fibroma (JPOF) is a rare bone tumor characterized by a predilection for the sinonasal region and a tendency to affect younger patients, with a potential for aggressive growth and high recurrence (30-56%). JPOF warrants complete surgical resection to avoid recurrence. CASE PRESENTATION In this article, we report a young boy who presented with unilateral prop-tosis with an expansile bony tumor with ground glass appearance involving the left frontal bone and orbital roof on his images. Complete surgical resection was done, and histopathological examination revealed JPOF with abundant psammomatoid bodies. DISCUSSION This patient is a rare case of neurocranial JOPF and adds new features to the typical features already described for JPOF.
Collapse
Affiliation(s)
- Mohammad Rahmani
- Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Kasra Hendi
- Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Saeed Dalfardi
- Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Amirhossein Larijani
- Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Maysam Alimohamadi
- Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran, .,Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran,
| |
Collapse
|
8
|
Twitchell S, Karsy M, Gozal YM, Davidson C, Couldwell WT, Brockmeyer D. Two-stage surgical treatment for a giant sellar psammomatoid juvenile ossifying fibroma: case report. J Neurosurg Pediatr 2019; 23:507-511. [PMID: 30611151 DOI: 10.3171/2018.10.peds18537] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Accepted: 10/24/2018] [Indexed: 11/06/2022]
Abstract
Psammomatoid juvenile ossifying fibroma (PJOF) is an uncommon, benign fibro-osseous tumor. It is a purely surgical disease, and a review of the literature revealed that adjuvant therapies, including chemotherapy and radiation, play a limited role. The authors report the case of a 16-year-old male refugee who presented with a giant sinonasal PJOF with parasellar invasion, after having been unable to undergo earlier surgical treatment. The delay in presentation resulted in a large lesion with bilateral optic nerve compression, blindness, and frontal lobe compression. The patient was surgically treated with a two-stage combined cranial and endoscopic endonasal surgical approach. The delay in treatment and significant neurological compromise, which necessitated a two-stage approach, are unique from previously reported cases of PJOF.
Collapse
Affiliation(s)
| | | | | | | | | | - Douglas Brockmeyer
- Departments of1Neurosurgery and
- 3Primary Children's Hospital, Salt Lake City, Utah
| |
Collapse
|