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Massive expansile ossifying fibroma of the mandible with osteomyelitis
Authors:Silky R. Punyani  Vishal R. Jasuja  Pushpanshu Kumar  Rachna Kaushik
Affiliation:1. Department of Oral Medicine and Radiology, People’s Dental Academy, C-14, Senior MIG, PCMS Campus, Bhanpur Bypass Road, People’s Campus, Bhopal, 462037, India
2. Department of Anatomy, People’s College of Medical Sciences and Research Centre, People’s Campus, Bhanpur, Bhopal, 462037, India
3. Department of Oral Medicine and Radiology, Dr B R Ambedkar Institute of Dental Sciences, Hari Om Nagar, New Bailey Road, West of Canal, Patna, 801503, Bihar, India
4. Department of Dentistry, Shri Krishna Medical College, P.O. Umanagar, Muzaffarnagar, 842004, Bihar, India
Abstract:
An ossifying fibroma is a benign odontogenic tumor of mesenchymal origin that belongs to the spectrum of fibro-osseous lesions afflicting the craniofacial complex. Although benign, it can be potentially aggressive, reaching very large sizes. The authors report a rare case of an aggressive ossifying fibroma in the mandible of a 30-year-old male patient that reached gigantic proportions with superimposed osteomyelitis, mimicking a malignancy. Differentiation of ossifying fibroma from other fibro-osseous lesions and benign and malignant neoplasms is important for the correct management of this lesion. Proper radiological evaluation and interpretation aids for arriving at a definitive diagnosis are required. The paper also highlights the radiological features of this entity.
Keywords:
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