Abstract
Osteosarcomas of the jaws (OSJ) are difficult to diagnose, rare malignant lesions, with uncharacteristic radiographic and clinical presentation. Early diagnosis and treatment are essential to improve long-term prognosis. The current report presents a rare case of a primary conventional osteoblastic osteosarcoma of the anterior maxilla in a 25-year-old female. She presented to a private dental clinic after developing pain, facial oedema and palpation tenderness of a mass associated with the upper right lateral incisor. The signs and symptoms mimicked very closely a regular radiolucent and symptomatic periapical pathology, and the definitive diagnosis was only possible through a combination of clinical, radiographic and histopathological findings. The patient was referred to an oncology facility, where she was submitted to radical excision surgery through a hemi-maxillectomy. Although other pathologies are uncommon, the differential diagnosis of lesions compatible with odontogenic periapical pathology should not be neglected.
Original language | English (US) |
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Pages (from-to) | 656-663 |
Number of pages | 8 |
Journal | Australian Endodontic Journal |
Volume | 47 |
Issue number | 3 |
DOIs | |
State | Published - Dec 2021 |
Bibliographical note
Funding Information:Nothing to declare.
Publisher Copyright:
© 2021 Australian Society of Endodontology Inc
Keywords
- diagnoses
- endodontics
- oral cancer
- oral surgery
- osteosarcoma tumour