Juvenile aggressive cemento-ossifying fibroma. A case report

Area of Science:

• Oral and Maxillofacial Surgery
• Pediatric Dentistry
• Pathology

Background:

• Juvenile Aggressive Cemento-Ossifying Fibroma (JACOF) is a rare, benign fibro-osseous neoplasm.
• JACOF typically affects the maxilla but can occur in other craniofacial bones, including the mandible.
• This tumor presents a significant clinical challenge due to its rapid growth and high recurrence rate.

Observation:

• A case report details a 9-year-old male child diagnosed with JACOF.
• The patient presented to the Department of Oral Medicine and Radiology.
• The specific location and clinical presentation within the pediatric population are highlighted.

Findings:

• JACOF is characterized by its locally aggressive behavior and rapid expansion.
• Histopathological examination confirms the diagnosis of a fibro-osseous lesion.
• The case underscores the potential for JACOF to occur in the mandible in pediatric patients.

Implications:

• Early diagnosis and prompt surgical intervention are critical for successful management of JACOF.
• Complete surgical excision is essential to minimize the risk of tumor recurrence.
• Understanding the aggressive nature of JACOF in children guides treatment strategies and emphasizes the need for vigilant follow-up.