Cemento-ossifying fibroma

Case contributed by Dr Charudutt Jayant Sambhaji

Presentation

Nasal blockage; hard mass per examination; painful.

Patient Data

Age: unknown
Gender: Male
CT

Non-contrast CT through the paranasal sinuses demonstrates a very large well circumscribed mass centered on the nasal septum. The mass is of high attenuation with a number of fluid density spaces within it. It has remodeled and resulted in resorption of the surrounding bony margins, as it has expanded into the orbits, anterior cranial fossa and maxillary sinuses (the outflow of which are compromised). The hard palate appears intact.

Case Discussion

Features are consistent with an unusually large cemento-ossifying fibroma. This was subsequently histologically proven. 

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Case information

rID: 7678
Published: 18th Nov 2009
Last edited: 12th Nov 2020
System: Head & Neck
Inclusion in quiz mode: Included

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