Work

Pedunculated ossifying fibroma of the maxillary alveolus mimicking a chondroid tumor in an elderly patient

Year: 2025

Type: article

Abstract: Ossifying fibroma is a benign fibro-osseous neoplasm that rarely arises in the maxillary alveolus and is uncommon in elderly patients, making diagnosis particularly challenging. We report the case of a 70-year-old male who presented with a gradual enlarging pedunculated intraoral swelling measuring approximately 3.5 × 2.5 cm on the left maxillary alveolus. Contrast-enhanced computed tomography revealed internal bony deposits that suggested a chondroid benign tumor, while fine-needle aspiration cytology showed extensive hemorrhage with dense lymphocytic infiltrate but uneventful and no recurrence was observed at six months. This case illustrates that ossifying fibroma should be considered in the differential diagnosis of maxillary swellings in elderly patients, and emphasizes that definitive diagnosis relies on histopathology while surgical excision remains the treatment of choice.

Source: Oral and Maxillofacial Surgery Cases

DOI: 10.1016/j.omsc.2025.100432

Authors: Sanjana Narendra Wadewale, Nitin Bhola

Institution: Datta Meghe Institute of Higher Education and Research

Language: English

Topic: Oral and Maxillofacial Pathology

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,120