Juvenile Psammomatoid Ossifying Fibroma Presenting as a Supra-Sellar Mass in an 18 Year Old Female

Juvenile ossifying fibroma (JOF) is a rare benign tumor that has previously been described in the craniofacial bones with a predilection for the sinonasal area and jaw1,2. There are two main histological forms: psammomatoid JOF (JPOF) and trabecular JOF3,4. Management is with wide resection and recurrence rate is high5,6. Mean age at presentation is 11.5 to 11.8 years. So far there is only one case report of sellar mass due to JOF, trabecular variant in a 15 year old7 and another case report with orbital invasion in two cases8. We describe a case with JPOF presenting as a suprasellar mass causing compressive optic neuropathy and its management at our institution.