Juvenile ossifying fibroma diagnosed on fine needle aspiration cytology: a diagnostic challenge

Diagn Cytopathol. 2015 Jan;43(1):75-9. doi: 10.1002/dc.23136. Epub 2014 Mar 3.

Abstract

Preoperative diagnosis of jaw lesions is not always possible on the basis of clinico-radiological findings alone and needs to be confirmed before attempting any surgical intervention. Fibro-osseous lesions of the jaw comprise a spectrum of diseases which include cement-osseous dysplasia, fibrous dysplasia, and ossifying fibroma. The cytomorphological distinction between these individual entities is difficult. We present a case of maxillary fibro-osseous lesion in an adolescent girl diagnosed and categorized as juvenile ossifying fibroma preoperatively on cytology and confirmed on histopathology. Although aspirates are usually paucicellular in fibro-osseous lesions, certain cytological features if present in cellular cytosmears can offer further categorization and a definitive diagnosis may be possible in light of clinico-radiological correlation.

Keywords: FNAC; fibro-osseous lesion; jaw lesion; juvenile ossifying fibroma.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Biopsy, Fine-Needle
  • Female
  • Fibroma, Ossifying / pathology*
  • Humans
  • Maxillary Neoplasms / pathology*