Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in Maxilla

INTRODUCTION: Ossifying fibroma is a rare benign bone lesion characterized by gradual development and asymptomatic presentation, typically affecting craniofacial bones in individuals, particularly females, during their second to fourth decades of life. The concurrent occurrence of ora...

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Main Authors: Navya Jacob, Murali T V, Indu M, Amilu Elsa Varghese
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2025-03-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal23/index.php/bjohns/article/view/139
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author Navya Jacob
Murali T V
Indu M
Amilu Elsa Varghese
author_facet Navya Jacob
Murali T V
Indu M
Amilu Elsa Varghese
author_sort Navya Jacob
collection DOAJ
description INTRODUCTION: Ossifying fibroma is a rare benign bone lesion characterized by gradual development and asymptomatic presentation, typically affecting craniofacial bones in individuals, particularly females, during their second to fourth decades of life. The concurrent occurrence of oral squamous cell carcinoma (OSCC) with ossifying fibroma is exceedingly rare, with only one previous case reported. CASE REPORT: We describe a 71-year-old male presenting with a gradually enlarging swelling in the oral cavity, initially treated five years prior for a mandibular fracture. Clinical examination revealed a large swelling in the right maxillary area, and imaging showed a radiolucent lesion with expansile characteristics. Histopathological analysis of the excised tissue initially suggested a benign fibro-osseous lesion. However, upon recurrence, a further biopsy revealed a coexistence of ossifying fibroma and well-differentiated squamous cell carcinoma in the previously affected palatal region. DISCUSSION: The simultaneous presence of ossifying fibroma and OSCC is extremely rare. This case underscores the importance of thorough diagnostic evaluation and highlights potential associations between trauma and tumor development. Further research is needed to elucidate the relationship between these lesions and improve diagnostic and therapeutic approaches for such rare occurrences.
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publishDate 2025-03-01
publisher The Association of Otolaryngologists of India, West Bengal
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series Bengal Journal of Otolaryngology and Head Neck Surgery
spelling doaj-art-e5ca0457f2644e8a98ee477941f939982025-08-26T08:45:26ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072025-03-0132210.47210/bjohns.2024.v32i2.139Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in MaxillaNavya Jacob0Murali T V1Indu M2Amilu Elsa Varghese3Government Medical College, Kottayam, KeralaGovernment Medical College, Kottayam, KeralaGoverment Dental College, Thrissur, KeralaGovernment Medical College, Kottayam, Kerala INTRODUCTION: Ossifying fibroma is a rare benign bone lesion characterized by gradual development and asymptomatic presentation, typically affecting craniofacial bones in individuals, particularly females, during their second to fourth decades of life. The concurrent occurrence of oral squamous cell carcinoma (OSCC) with ossifying fibroma is exceedingly rare, with only one previous case reported. CASE REPORT: We describe a 71-year-old male presenting with a gradually enlarging swelling in the oral cavity, initially treated five years prior for a mandibular fracture. Clinical examination revealed a large swelling in the right maxillary area, and imaging showed a radiolucent lesion with expansile characteristics. Histopathological analysis of the excised tissue initially suggested a benign fibro-osseous lesion. However, upon recurrence, a further biopsy revealed a coexistence of ossifying fibroma and well-differentiated squamous cell carcinoma in the previously affected palatal region. DISCUSSION: The simultaneous presence of ossifying fibroma and OSCC is extremely rare. This case underscores the importance of thorough diagnostic evaluation and highlights potential associations between trauma and tumor development. Further research is needed to elucidate the relationship between these lesions and improve diagnostic and therapeutic approaches for such rare occurrences. https://bjohns.in/journal23/index.php/bjohns/article/view/139Fibro-osseous lesionMaxillary sinusOssifying fibromaOral squamous cell carcinoma
spellingShingle Navya Jacob
Murali T V
Indu M
Amilu Elsa Varghese
Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in Maxilla
Bengal Journal of Otolaryngology and Head Neck Surgery
Fibro-osseous lesion
Maxillary sinus
Ossifying fibroma
Oral squamous cell carcinoma
title Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in Maxilla
title_full Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in Maxilla
title_fullStr Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in Maxilla
title_full_unstemmed Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in Maxilla
title_short Ossifying Fibroma with Co-existent Squamous Cell Carcinoma in Maxilla
title_sort ossifying fibroma with co existent squamous cell carcinoma in maxilla
topic Fibro-osseous lesion
Maxillary sinus
Ossifying fibroma
Oral squamous cell carcinoma
url https://bjohns.in/journal23/index.php/bjohns/article/view/139
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AT muralitv ossifyingfibromawithcoexistentsquamouscellcarcinomainmaxilla
AT indum ossifyingfibromawithcoexistentsquamouscellcarcinomainmaxilla
AT amiluelsavarghese ossifyingfibromawithcoexistentsquamouscellcarcinomainmaxilla