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Osteosarcoma Of Maxilla: A Case Of Missed Initial Diagnosis

机译:上颌骨肉瘤:漏诊的一例

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Primary neoplasmsof humanskeleton are rare, accounting for 0.2% of overall human tumor burden. Osteosarcoma accounts for 15-35% of all primary bone tumors. While osteosarcoma of jaw bones are even rarer, representing 4-8% of all osteosarcomas. Peak incidence for jaw osteosarcoma is 3rd-4thdecade, whileosteosarcomas of long bonesshow a bimodal agedistribution. Here we report anunusual case historyof a 54yrs old male with swelling in anterior gingiva of maxillawith mobility of teeth, which on x-ray was defined as non-contributory, andon incisional biopsy was diagnosed as giant cell granuloma. However on histopathological examination after wide surgical excision,it showed large areas of lobular malignant cartilage with few areas of disorganized tumor osteoidandatypical spindle cells, and was reported as chondroblastic osteosarcoma.
机译:人体骨骼的原发性肿瘤很罕见,占人类整体肿瘤负担的0.2%。骨肉瘤占所有原发性骨肿瘤的15%至35%。颌骨骨肉瘤更为罕见,占所有骨肉瘤的4-8%。颌骨肉瘤的峰值发病率是第3至第4个十年,而长骨的骨肉瘤表现出双峰年龄分布。在这里,我们报告了一位54岁的男性不寻常的病例史,该患者在上颌前牙龈肿胀且牙齿活动,在X线检查中被定义为无贡献,并且在切开活检中被诊断为巨细胞肉芽肿。然而,经广泛的手术切除后的组织病理学检查显示,小叶恶性软骨的面积大,肿瘤骨样不典型梭形细胞很少,并且据报道是软骨样骨肉瘤。

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