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探索一例罕见的筛窦青少年砂粒样骨化性纤维瘤:病例报告及文献复习

Exploring a rare case of juvenile psammomatoid ossifying fibroma in the ethmoid: a case study and review.

作者信息

Aaboudech Taha Yassine, El Ouazzani Hafsa, Kadiri Habiba, Essakalli Leila, Bouteyine Ayoub, Benadbdenbi Hanae, Rguieg Naji, Cherradi Nadia

机构信息

Pathology Department, Rabat Specialty Hospital, Morocco Mohammed V University in Rabat, Rabat 10100, Morocco.

ENT-HNS Department, Rabat Specialty Hospital, Morocco Mohammed V University in Rabat, Rabat 10100, Morocco.

出版信息

J Surg Case Rep. 2024 Apr 20;2024(4):rjae242. doi: 10.1093/jscr/rjae242. eCollection 2024 Apr.

Abstract

Juvenile ossifying fibroma (JOF) and its variants, including juvenile psammomatoid ossifying fibroma (JPOF), represent rare yet clinically significant benign fibro-osseous lesions that primarily occur in children and young adolescents. They can be found in diverse anatomical sites such as the jaw, nasal cavity, paranasal sinuses, and orbit. JOF exhibits an aggressive nature, necessitating early radiological detection and surgical intervention. Similarly, JPOF, with a locally malignant potential, requires surgical removal, typically conducted through endoscopic approaches. We report a case of a 5-year-old girl with JPOF arising in the ethmoid, revealed by recurrent epistaxis and proptosis. The text emphasizes the importance of early diagnosis through histopathology as a diagnostic tool and underscores the need for appropriate management.

摘要

青少年骨化性纤维瘤(JOF)及其变体,包括青少年砂粒样骨化性纤维瘤(JPOF),是罕见但具有临床意义的良性纤维-骨病变,主要发生于儿童和青少年。它们可出现在多种解剖部位,如下颌骨、鼻腔、鼻窦和眼眶。JOF具有侵袭性,需要早期进行影像学检查并采取手术干预。同样,具有局部恶性潜能的JPOF需要手术切除,通常通过内镜手术进行。我们报告了一例5岁女孩,患有起源于筛骨的JPOF,表现为反复鼻出血和眼球突出。本文强调了通过组织病理学作为诊断工具进行早期诊断的重要性,并强调了适当治疗的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1f8/11034983/3b308124a54c/rjae242f1.jpg

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