A Rare Case of Juvenile Cemento-Ossifying Fibroma: Diagonosed by Cytological and Radiological Correlation

Cemeto-ossifying fibroma (COF) is a benign fibro-osseous lesion of the mandible and maxilla. The World Health Organization (WHO) introduced the term “cementoossifying fibroma” by combining two entities, cementifying fibroma and ossifying fibroma in 1992. However in 2005 the entity was included under ossifying fibroma group. The tumor usually affects the young adults. Rarely, this tumor arises in children, known as Juvenile aggressive ossifying fibroma, having a more aggressive clinical course. They arise in the mandible in 62% to 89% of patients, majority occur in the premolar region but rare in maxilla. But the juvenile variant commonly involves maxilla. They are thought to arise from the periodontal ligament and are composed of varying amounts of cementum, bone, and fibrous tissue. Herein we are presenting a rare case of juvenile cemento-ossifying fibroma, arising from maxilla in a 12 years old girl diagnosed by radiological and cytological correlation and confirmed by histopathological examination.