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上颌骨骨膜外骨肉瘤:表面骨肉瘤的补充病例报告及文献综述

Maxillary Parosteal Osteosarcoma: Additional case Report and Literature Review of Surface Osteosarcomas.

作者信息

Silveira Heitor Albergoni, Coelho Maria Carolina, Silva Evânio Vilela, Nogueira Gustavo Milhomens, Díaz Katya Pulido, Oliveira-Santos Christiano, León Jorge Esquiche

机构信息

Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (FOAr/UNESP), Araraquara, São Paulo, Brazil.

Oral Pathology, Department of Stomatology, Public Oral Health, and Forensic Dentistry, Ribeirão Preto Dental School (FORP/USP), University of São Paulo, Ribeirão Preto, São Paulo, 14040-904 SP Brazil.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Jun;75(2):1076-1080. doi: 10.1007/s12070-022-03373-x. Epub 2022 Dec 17.

Abstract

: Surface osteosarcomas represent around 3-6% of all osteosarcomas, which include the parosteal (low-grade), periosteal (intermediate-grade) and high-grade surface osteosarcomas. The classical location is the femur, followed by tibia and humerus. Parosteal osteosarcoma is the most common type of surface osteosarcoma. To date, 26 cases of parosteal osteosarcoma affecting the jaws have been reported, with most cases following an evolution time of several months to years, clinically favoring a benign osseous or fibro-osseous lesion. : Here, we report a 39-year-old female who was referred presenting a maxillary tumoral mass 5 years ago, clinically diagnosed as osteoma. After clinical, imaginological and histopathological analysis, a diagnosis of parosteal osteosarcoma was made. : Thus, parosteal osteosarcoma should also be considered in the differential diagnosis of benign-appearance, bone-forming nodular lesions affecting the jaws.

摘要

骨膜表面骨肉瘤约占所有骨肉瘤的3% - 6%,包括骨旁骨肉瘤(低级别)、骨膜骨肉瘤(中级别的)和高级别骨膜表面骨肉瘤。典型发病部位是股骨,其次是胫骨和肱骨。骨旁骨肉瘤是骨膜表面骨肉瘤最常见的类型。迄今为止,已有26例累及颌骨的骨旁骨肉瘤病例报道,大多数病例病程持续数月至数年,临床上倾向于良性骨或骨纤维性病变。在此,我们报告一例39岁女性,5年前因上颌部肿瘤性肿物前来就诊,临床诊断为骨瘤。经过临床、影像学和组织病理学分析,诊断为骨旁骨肉瘤。因此,在鉴别诊断颌骨出现的外观良性、形成骨的结节性病变时,也应考虑骨旁骨肉瘤。

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