Abstract
A 12-year-old male patient reported to the oral medicine care unit complaining of an enlarged face. Clinical and radiographic examinations revealed a lesion in the left mandibular body causing expansion of the cortical bone. Laboratory blood tests showed high levels of eosinophils and lymphocytes. Computed tomography showed cortical bone remodeling in the body of the mandible due to an osteolytic lesion with areas of cortical discontinuity. Incisional biopsy revealed the diagnosis of juvenile ossifying fibroma trabecular. Conservative enucleation of the lesion was executed. Immunohistochemistry was performed on the surgical specimen, which ruled out the possibility of low-grade osteosarcoma and confirmed the previous diagnosis. One year and 2 months after the procedure, the panoramic x-ray of follow-up control showed bone neoformation; however, bone expansion was still detected. Juvenile ossifying fibroma is a rare lesion with an invasive behavior and, in most cases, occurs in the jaw. A 12-year-old male patient reported to the oral medicine care unit complaining of an enlarged face. Clinical and radiographic examinations revealed a lesion in the left mandibular body causing expansion of the cortical bone. Laboratory blood tests showed high levels of eosinophils and lymphocytes. Computed tomography showed cortical bone remodeling in the body of the mandible due to an osteolytic lesion with areas of cortical discontinuity. Incisional biopsy revealed the diagnosis of juvenile ossifying fibroma trabecular. Conservative enucleation of the lesion was executed. Immunohistochemistry was performed on the surgical specimen, which ruled out the possibility of low-grade osteosarcoma and confirmed the previous diagnosis. One year and 2 months after the procedure, the panoramic x-ray of follow-up control showed bone neoformation; however, bone expansion was still detected. Juvenile ossifying fibroma is a rare lesion with an invasive behavior and, in most cases, occurs in the jaw.
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