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颌骨骨肉瘤:一例报告。

Osteosarcoma of the jaws: A case report.

作者信息

Loubna Amminou, Bouchra Taleb

机构信息

Department of Oral Surgery, Dental Center of Treatment and Diagnosis (Ibn Sina Hospital), Rabat, Morocco.

Faculty of Dentistry of Rabat, Mohammed V University, Morocco.

出版信息

Int J Surg Case Rep. 2022 Apr;93:106909. doi: 10.1016/j.ijscr.2022.106909. Epub 2022 Mar 4.

Abstract

INTRODUCTION

Osteosarcomas of the jaws are very rare accounting for only 6 to 7% of all osteosarcomas and 1% of all head and neck malignancies. The clinicopathological characteristics as well as the radiological characteristics are not specific, which represents a diagnostic dilemma. Indeed, this lesion is often mistaken for benign lesions of the maxillary.

CASE PRESENTATION

We report a case of osteosarcoma of the jaws in a 45 year man who consulted in our service for a simple painless oral swelling evolving since a five months. The lesion was excised and histopathological report confirmed the diagnosis of osteosarcoma of the jaw.

DISCUSSION

Osteosarcomas are a rarely progressive tumor in the oral cavity that can show up as a case of a benign process of dental origin. During our practice, we often meet similar cases which are treated by usual medication, while a whole malignant process is in the progress and can be life-threatening. The case we present illustrates this perfectly, and owing to a deep clinical investment, the malignant process was stopped at its start.

CONCLUSION

The objective of presenting this case is to draw the attention of the doctors that any lesions even of benign appearance can hide a malignant process. Consider this point and integrate it into its diagnostic approach should be undertaken and should lead to a deepening of the clinical examination by comparing the clinical, radiological and histological data.

摘要

引言

颌骨骨肉瘤非常罕见,仅占所有骨肉瘤的6%至7%,占所有头颈部恶性肿瘤的1%。其临床病理特征以及放射学特征并不具有特异性,这带来了诊断难题。实际上,这种病变常被误诊为上颌骨的良性病变。

病例报告

我们报告一例45岁男性颌骨骨肉瘤病例,该患者因口腔出现无痛性肿胀5个月前来我院就诊。病变被切除,组织病理学报告证实为颌骨骨肉瘤。

讨论

骨肉瘤在口腔中是一种罕见的进行性肿瘤,可能表现为源于牙齿的良性病变。在我们的临床实践中,我们经常遇到类似病例,这些病例接受常规药物治疗,而整个恶性病变过程却在进展,可能危及生命。我们展示的这个病例完美地说明了这一点,由于深入的临床检查,恶性病变过程在早期就被阻止了。

结论

展示这个病例的目的是引起医生们的注意,即任何病变,即使外观呈良性,也可能隐藏着恶性病变过程。应考虑到这一点并将其纳入诊断方法中,这应该会促使通过比较临床、放射学和组织学数据来加深临床检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e0c/8956793/34f13532faf8/gr1.jpg

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