Multifaceted presentation of peripheral ossifying fibroma: Case series spanning three age groups

Abstract

A benign focal non-reactive lesion that has been reported in the literature under a variety of names, Calcifying Fibroblastic Granuloma or Peripheral Ossifying Fibroma (POF) can occur usually in a younger age group with a female predilection. POF can be perplexing to a clinician as the clinical similarity with pyogenic granuloma or fibroma is astounding. It can cause erosion of bone and underlying structures with a recurrence rate ranging from 16% - 20%. So, the lesion must be identified by histological investigation. In this paper, we describe about three individuals in their 2, 5, and 9 decades of life who were all diagnosed with POF. POF can be perplexing to a clinician as the clinical similarity with pyogenic granuloma or fibroma is astounding. The lesion has a predilection for females of younger age group. Only 0.5% cases of POF have been reported in the third decade of life which makes the third case a unique one. The three cases presented here were managed using three different surgical approaches.