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Juvenile psammomatoid ossifying fibroma
Dominik Radzki1, Jolanta Szade2, Tomasz Nowicki3
1Department of Periodontology and Oral Mucosal Diseases, Medical University of Gdansk, Poland.
Summary
Juvenile psammomatoid ossifying fibroma (JPOF) is a rare, aggressive head tumor. This case highlights an extensive JPOF requiring surgical intervention and ongoing monitoring due to incomplete removal.
Area of Science:
- Oncology
- Otorhinolaryngology
- Neurosurgery
Background:
- Juvenile psammomatoid ossifying fibroma (JPOF) is a rare, benign, yet locally aggressive tumor.
- These tumors can present with significant local invasion and recurrence potential.
Observation:
- An 18-year-old female presented with headache and oral bleeding.
- Imaging revealed a large, expansile mass involving ethmoid cells, nasal cavities, and sphenoid sinus, extending into the anterior cranial fossa.
Findings:
- The patient underwent pterional craniotomy for tumor resection.
- Recurrence was identified one year post-surgery, necessitating a second operation.
Implications:
- This case underscores the aggressive nature and extensive potential of JPOF, even in young patients.
- Complete surgical removal and long-term surveillance are crucial for managing JPOF due to its recurrence risk.
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