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Juvenile Psammomatoid Ossifying Fibroma (JPOF) of Proximal Radius: A Rare Entity

Jagadish Prabhu1, Veena Nagaraj2, Iftikhar Ahmed Mukhtar3

  • 1Department of Orthopedics, Bahrain Defence Force Hospital - Royal Medical Services, Riffa, Kingdom of Bahrain.

The Open Orthopaedics Journal
|September 22, 2017
PubMed
Abstract

Insights

Juvenile psammomatoid ossifying fibroma (JPOF) is a rare, aggressive tumor typically found in facial bones. This case report details the first known instance of JPOF in the proximal radius of an 11-year-old girl, highlighting the need for early detection and surgical intervention.

Area of Science:

  • Orthopedic Oncology
  • Pediatric Pathology
  • Skeletal Radiology

Background:

  • Juvenile psammomatoid ossifying fibroma (JPOF) is a rare fibro-osseous lesion.
  • Characterized by spherical ossicles resembling psammoma bodies.
  • Typically affects facial bones in children and adolescents, known for aggressive local growth and high recurrence rates.

Purpose of the Study:

  • To report the first case of JPOF occurring in the proximal radius of a long bone.
  • To emphasize the aggressive nature and diagnostic challenges of JPOF in non-typical locations.

Main Methods:

  • Case presentation of an 11-year-old girl with right elbow pain and forearm rotation limitation.
  • Diagnosis confirmed via needle biopsy and histopathology as Psammomatoid type juvenile ossifying fibroma (JPOF).
  • Surgical treatment involved extensive debridement, curettage, allograft bone grafting, and intramedullary stabilization with a titanium elastic nail.

Main Results:

  • Successful surgical excision and reconstruction of the proximal radius lesion.
  • The tumor was histopathologically confirmed as JPOF, a rare presentation in long bones.
  • The patient underwent a complex surgical procedure to address the aggressive nature of the tumor.

Conclusions:

  • This is the first reported case of psammomatoid type juvenile ossifying fibroma in the proximal radius.
  • JPOF in long bones should be considered aggressive with a high recurrence potential.
  • Early and accurate diagnosis, complete surgical excision, and regular follow-up are crucial for managing JPOF to prevent recurrence or malignant transformation.
Keywords:
Juvenile ossifying fibromaOssifying fibromaPsammomatoid

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