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

The Egyptian Journal of Radiology and Nuclear Medicine

Nataraj Pillai¹  Deepthi Padmanabhan¹  Gokul Kripesh²  Partheeban Balasundaram²  Linda Kalliath³  D. Karthikeyan³ 

[1] Department of ENT, SRM Institutes for Medical Science;Department of Pathology, SRM Institutes for Medical Science;Department of Radiology, SRM Institutes for Medical Science;

关键词: Juvenile psammomatoid ossifying fibroma;    Fibro-osseous lesions;    Aneurysmal bone cyst;    Fluid–fluid levels;   

DOI  :  10.1186/s43055-021-00570-6

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown