Intracranial extended Psammomatoid Juvenile Ossifying Fibroma: case report and systematic review
Abstract
Psammomatoid Juvenile Ossifying Fibroma is an uncommon fibro-osseous neoplasm of aggressive but benign nature found in the younger age. Its aggressive path can lead to facial deformation, eye proptosis, and development of intracranial extensions leading to various neurological symptoms. A systematic review based by the MOOSE guideline in Medline, EMBASE and Lilacs, resulted in 23 reported cases of intracranial extended PJOF. Hence, we found it relevant to present a case report of a 15-year-old male with facial deformation and left eye proptosis absent of visual disturbances with PJOF. The lesion was present in the left anterior base of the skull and extended to the intra-orbital space and over the zygomatic arch. The diagnosis was only confirmed as PJOF by histopathological analysis of the completely resected lesion. Follow up visits documented unremarkable regression of the facial deformity and post-op images showed a completely resected lesion. Our case raises the need to be aware of this rare tumor that can be confused with a meningioma or other intracranial tumors.
References
2. Linhares, P.; Pires, E.; Carvalho, B.; Vaz, R. Juvenile psammomatoid ossifying fibroma of the orbit and paranasal sinuses. A case report, Acta neurochirurgica. 2011, 153, 1983-1988.
3. Harris, M. S.; Vernon, D. J.; Agostino, M. A. An infant with right eye proptosis. Juvenile psammomatoid ossifying fibroma (JPOF), JAMA otolaryngology-- head & neck surgery. 2014, 140, 471-472.
4. Gagnier, J. J.; Kienle, G.; Altman, D. G., et al. The CARE guidelines: consensus-based clinical case reporting guideline development, BMJ case reports. 2013, 2013.
5. Stroup, D. F.; Berlin, J. A.; Morton, S. C., et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group, Jama. 2000, 283, 2008-2012.
6. Babaji, H. V.; Bharathi, C. S.; Pal, P. K.; Singh, G.; Anuradha, M.; Chaurasia, V. R. Juvenile aggressive ossifying fibroma of the maxilla: a case report, Journal of international oral health : JIOH. 2014, 6, 108-110.
7. Waldron, C. A. Fibro-osseous lesions of the jaws, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 1985, 43, 249-262.
8. Slootweg, P.; El-Mofty, S. Ossifying Fibroma, Lyon: IARC, 2005.
9. Reddy, A. V.; Reddy, K. R.; Prakash, A. R.; Rajinikanth; Vidhyadhari, P. Juvenile ossifying fibroma with aneurysamal bone cyst: a case report, Journal of clinical and diagnostic research : JCDR. 2014, 8, ZD01-02.
10. Madiraju, G. S.; Bokhari, K. S. Juvenile ossifying fibroma of the jaw bone: Case report, Oral Oncology. 2011, 47, S82.
11. Sarode, S. C.; Sarode, G. S.; Waknis, P.; Patil, A.; Jashika, M. Juvenile psammomatoid ossifying fibroma: A review, Oral Oncology. 2011, 47, 1110-1116.
12. Bohn, O. L.; Kalmar, J. R.; Allen, C. M.; Kirsch, C.; Williams, D.; Leon, M. E. Trabecular and psammomatoid juvenile ossifying fibroma of the skull base mimicking psammomatoid meningioma, Head and neck pathology. 2011, 5, 71-75.
13. Margo, C. E.; Ragsdale, B. D.; Perman, K. I. Psammomatoid (juvenile) ossifying fibroma of the orbit. 92.
14. El-Mofty, S. Psammomatoid and trabecular juvenile ossifying fibroma of the craniofacial skeleton: two distinct clinicopathologic entities, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2002, 93, 296-304.
15. Tamgadge, S.; Avinash, T.; Bhalerao, S.; Rajhans, S. Juvenile psammomatoid ossifying fibroma with aneurysmal bone cyst in the posterior mandible, Ecancermedicalscience. 2014, 8, 471.
16. Melo, A. R.; Vasconcelos, B. C.; Carneiro, S. C.; do Amaral, M. F.; da Fonte Neto, A. S.; Cardoso, M. S. Juvenile psammomatoid ossifying fibroma with massive mandibular involvement, General dentistry. 2014, 62, 34-36.
17. Owosho, A. A.; Hughes, M. A.; Prasad, J. L.; Potluri, A.; Branstetter, B. Psammomatoid and trabecular juvenile ossifying fibroma: two distinct radiologic entities, Oral surgery, oral medicine, oral pathology and oral radiology. 2014, 118, 732-738.
18. El-Mofty, S. Psammomatoid and trabecular juvenile ossifying fibroma of the craniofacial skeleton: two distinct clinicopathologic entities See http://www.oooojournal.net/article/S1079-2104(02)52826-2/abstract for further details. 93.
19. Marglani, O. A.; Kassab, M. Y.; Raza, S. A. Minimally invasive endoscopic removal of a massive trabecular juvenile ossifying fibroma of the paranasal sinuses, Saudi medical journal. 2014, 35, 872-875.
20. Carter, J.; Winters, R.; Yang, C.; St Hilaire, H.; Rodriguez, K. Juvenile ossifying fibroma of the middle turbinate, The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society. 2014, 166, 100-102.
21. Sarode, S. C.; Sarode, G. S.; Waknis, P.; Patil, A.; Jashika, M. Juvenile psammomatoid ossifying fibroma: a review, Oral Oncol. 2011, 47, 1110-1116.
22. Scott, M.; Peale, A. R.; Croissant, P. D. Intracranial midline anterior fossae ossifying fibroma invading orbits, paranasal sinuses, and right maxillary antrum. Case report, Journal of neurosurgery. 1971, 34, 827-831.
23. Tomita, T.; Huvos, A. G.; Shah, J.; Sundaresan, N. Giant ossifying fibroma of the nasal cavity with intracranial extension, Acta neurochirurgica. 1981, 56, 65-71.
24. Villemure, J. G.; Meagher-Villemure, K. Giant ossifying fibroma of the skull. Case report, Journal of neurosurgery. 1983, 58, 602-606.
25. Shields, J. A.; Peyster, R. G.; Handler, S. D.; Augsburger, J. J.; Kapustiak, J. Massive juvenile ossifying fibroma of maxillary sinus with orbital involvement, The British journal of ophthalmology. 1985, 69, 392-395.
26. Nakagawa, K.; Takasato, Y.; Ito, Y.; Yamada, K. Ossifying fibroma involving the paranasal sinuses, orbit, and anterior cranial fossa: case report, Neurosurgery. 1995, 36, 1192-1195.
27. Tobey, J. D.; Loevner, L. A.; Yousem, D. M.; Lanza, D. C. Tension pneumocephalus: a complication of invasive ossifying fibroma of the paranasal sinuses, AJR American journal of roentgenology. 1996, 166, 711-713.
28. Lawton, M. T.; Heiserman, J. E.; Coons, S. W.; Ragsdale, B. D.; Spetzler, R. F. Juvenile active ossifying fibroma. Report of four cases, Journal of neurosurgery. 1997, 86, 279-285.
29. Saito, K.; Fukuta, K.; Takahashi, M.; Seki, Y.; Yoshida, J. Benign fibroosseous lesions involving the skull base, paranasal sinuses, and nasal cavity. Report of two cases, Journal of neurosurgery. 1998, 88, 1116-1119.
30. Engelbrecht, V.; Preis, S.; Hassler, W.; Lenard, H. G. CT and MRI of congenital sinonasal ossifying fibroma, Neuroradiology. 1999, 41, 526-529.
31. Vandekerckhove, K.; Van den Abeele, K.; Van den Broecke, C.; Verstraete, K.; Meire, F. Psammomatoid ossifying fibroma of the ethmoid, Bull Soc Belge Ophtalmol. 2003, 9-14.
32. Baumann, I.; Zimmermann, R.; Dammann, F.; Maassen, M. M. Ossifying fibroma of the ethmoid involving the orbit and the skull base, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2005, 133, 158-159.
33. Hasselblatt, M.; Jundt, G.; Greiner, C., et al. Juvenile psammomatoid ossifying fibroma of the neurocranium. Report of four cases, Journal of neurosurgery. 2005, 102, 1151-1154.
34. Mehta, D.; Clifton, N.; McClelland, L.; Jones, N. S. Paediatric fibro-osseous lesions of the nose and paranasal sinuses, International journal of pediatric otorhinolaryngology. 2006, 70, 193-199.
35. Bannykh, S. I.; Fan, X.; Mamelak, A. Psammomatoid ossifying fibroma, J Neurooncol. 2007, 82, 61-62.
36. Gezici, A. R.; Ergun, R. Giant ossifying fibroma complicated by mucocele of sphenoid sinus--case report, Neurologia i neurochirurgia polska. 2008, 42, 467-469.
37. Nasser, M. J. Psammomatoid ossifying fibroma with secondary aneurysmal bone cyst of frontal sinus, Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2009, 25, 1513-1516.
38. Noudel, R.; Chauvet, E.; Cahn, V.; Merol, J. C.; Chays, A.; Rousseaux, P. Transcranial resection of a large sinonasal juvenile psammomatoid ossifying fibroma, Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2009, 25, 1115-1120.
39. Tandon, R.; Tandon, A.; Abrari, A.; Chandrashekhar, M.; Das, P.; Bansal, B. Juvenile psammomatoid ossifying fibroma: a rare cause of unilateral proptosis, BMJ case reports. 2011, 2011.
40. Geraldo, A. F.; Mendes Dos Santos, C.; Tavares, J., et al. Benign fibro-osseous lesions of the craniofacial complex with aneurysmal bone cyst formation, Acta medica portuguesa. 2012, 25 Suppl 1, 55-59.
41. Wehrli, L. A.; Zweifel, N.; Weil, R.; Altermatt, S. Juvenile psammomatoid ossifying fibroma of the forehead, radical resection, and defect coverage with a hydroxyl-apatite composite-a case report, European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery [et al] = Zeitschrift fur Kinderchirurgie. 2012, 22, 479-484.
42. Rowland, N. C.; Jermakowicz, W. J.; Tihan, T.; El-Sayed, I. H.; McDermott, M. W. Subacute cystic expansion of intracranial juvenile psammomatoid ossifying fibroma, Journal of neurosurgery Pediatrics. 2013, 11, 687-691.
43. Liu, J. K.; Mendelson, Z. S.; Dubal, P. M.; Mirani, N.; Eloy, J. A. The modified hemi-Lothrop procedure: a variation of the endoscopic endonasal approach for resection of a supraorbital psammomatoid ossifying fibroma, Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 2014, 21, 2233-2238.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright policies & self-archiving
We are a RoMEO green journal.
Author's Pre-print: author can archive pre-print (ie pre-refereeing)
Author's Post-print: author can archive post-print (ie final draft post-refereeing)
Publisher's Version/PDF: author can archive publisher's version/PDF
Copyright ownership
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
Articles are published Under License of Creative Commons Attribution 4.0 License ©