A rare exophytic juvenile ossifying fibroma mimicking an extraosseous lesion: a diagnostic challenge

Authors

  • Ajay Parihar Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India https://orcid.org/0000-0002-1825-0097
  • Prashanthi Reddy Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India https://orcid.org/0000-0002-1825-0097
  • Bijum Toko Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India
  • Ankita Khairwar Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India https://orcid.org/0000-0002-1825-0097

DOI:

https://doi.org/10.18203/2320-6012.ijrms20262211

Keywords:

Juvenile ossifying fibroma, Fibro-osseous lesion, Computed tomography, Exophytic lesion, Paediatric mandibular lesion

Abstract

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous lesion that predominantly affects children and adolescents and may present a diagnostic challenge due to its variable clinical and radiologic features. We report a rare case of a 9-year-old boy with an atypical presentation of JOF in the mandible, clinically mimicking an extraosseous lesion. Conventional imaging was inconclusive, whereas CT demonstrated a well-defined exophytic lesion with a hypodense centre and hyperdense peripheral margin. Histopathological examination confirmed the diagnosis of JOF. This case underscores the diagnostic difficulty associated with this underreported and unusual presentation.

Author Biographies

Ajay Parihar, Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India

Professor & Head of Department, M.D.S., Department of Oral Medicine and Radiology, Government College of Dentistry, Indore

Prashanthi Reddy, Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India

Associate Professor, M.D.S., Department of Oral Medicine and Radiology, Government College of Dentistry, Indore

Ankita Khairwar, Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India

Department of Oral Medicine and Radiology, Government College of Dentistry, Indore

References

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Published

2026-06-29

How to Cite

Parihar, A., Reddy, P., Toko, B., & Khairwar, A. (2026). A rare exophytic juvenile ossifying fibroma mimicking an extraosseous lesion: a diagnostic challenge. International Journal of Research in Medical Sciences, 14(7), 3128–3130. https://doi.org/10.18203/2320-6012.ijrms20262211

Issue

Section

Case Reports