A Rare Case of Intracranial Extension of Ethmoidal Sinus Juvenile Psammomatoid Ossifying Fibroma

Juvenile psammomatoid ossifying fibroma (JPOF) is a type of fibro-osseous lesion in which normal bone is replaced by fibrous tissue. Most commonly, it involves the nasal sinuses or orbital bone. It is very important to differentiate it from other fibro-osseous lesions because these lesions have overlapping clinical features. Even though it is a benign condition, it is locally aggressive and rarely extends intracranially. A complete surgical resection is the key to avoid recurrence. We are presenting a case of JPOF in a 16-year-old boy with a large tumor involving the ethmoidal sinuses with large intracranial component.