Trabecular Variant of Juvenile Aggressive Ossifying Fibroma

Abstract

Juvenile aggressive ossifying fibroma (JAOF) is an uncommon benign lesion which is distinctly aggressive in behavior with high tendency for recurrence. It appears in early age and in 79% of patients is diagnosed before 15. It has two histological variants: psammomatoid and trabecular, with the latter being less common with a stronger tendency to recur. In this article, we present a case of trabecular JAOF, in which treatment could not be given despite the availability of all requisites for surgery and good financial status, due to parental indifference and negligence.

Keywords: Tumor; juvenile; ossifying fibroma.

Figure 1.

A) Intraoral view of the lesion demonstrating the extent of the lesion. B) Coronal section of computed tomography scan demonstrating the expansile, destructive lesion with cortical boundary. C) Histo-pathological picture of the lesion demonstrating large area of cellular fibrous tissue with plump, ovoid to spindled fibroblasts and some areas of collagen and irregular islands of immature bony tissue along with mature bony trabeculae embedded in stroma along with scattered multinucleated giant cells.