Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Primary intraosseous squamous cell carcinoma mimicking periapical disease: a case report

  • Choi, Yoon-Joo (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University) ;
  • Oh, Song-Hee (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University) ;
  • Kang, Ju-Han (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University) ;
  • Choi, Hwa-Young (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University) ;
  • Kim, Gyu-Tae (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University) ;
  • Yu, Jae-Jung (Department of Oral and Maxillofacial Radiology, Kangdong Sacred Heart Hospital, Hallym Medical Center) ;
  • Choi, Yong-Suk (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University) ;
  • Hwang, Eui-Hwan (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University)
  • Received : 2012.04.22
  • Accepted : 2012.06.04
  • Published : 2012.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Primary intraosseous squamous cell carcinoma (PIOSCC) is a rare carcinoma, which arises within the jaws without connection to the oral mucosa and presumably develops from a remnant of odontogenic epithelium. We present a case of solid type PIOSCC in a 52-year-old male patient complaining of dull pain on his left lower molar. In this case, early stage PIOSCC mimicking a periapical lesion might lead to a one-year delay in treatment due to the misdiagnosis of osteomyelitis after extraction of the third molar. The clinical, radiological, and histologic features are described. In this case, there was initial radiographic evidence for PIOSCC mimicking a periapical lesion. Incautious radiographic interpretation and treatment procedures had delayed the correct diagnosis and resulted in extensive bony destruction during the patient's disease progression.

Keywords

References

  1. Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization classification of tumours: Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. p. 290-1.
  2. Eversole LR. Malignant epithelial odontogenic tumors. Semin Diagn Pathol 1999; 16 : 317-24.
  3. Pindborg JJ, Kramer IR, Torloni H. International histological classification of tumours, No. 5. Histological typing of odontogenic tumours, jaw cysts, and allied lesions. Geneva: World Health Organization; 1971. p. 35-6.
  4. Elzay RP. Primary intraosseous carcinoma of the jaws. Review and update of odontogenic carcinoma. Oral Surg Oral Med Oral Pathol 1982; 54 : 299-303. https://doi.org/10.1016/0030-4220(82)90099-8
  5. Slootweg PJ, Müller H. Malignant ameloblastoma or ameloblastic carcinoma. Oral Surg Oral Med Oral Pathol 1984; 57 : 168-76. https://doi.org/10.1016/0030-4220(84)90207-X
  6. Waldron CA, Mustoe TA. Primary inraosseous carcinoma of the mandible with probable origin in an odotogenic cyst. Oral Surg Oral Med Oral Pathol 1989; 67 : 716-24. https://doi.org/10.1016/0030-4220(89)90014-5
  7. Suei Y, Tanimoto K, Taguchi A, Wada T. Primary intraosseous carcinoma: review of the literature and diagnostic criteria. J Oral Maxillofac Surg 1994; 52 : 580-3. https://doi.org/10.1016/0278-2391(94)90094-9
  8. Lugakingira M, Pytynia K, Kolokythas A, Miloro M. Primary intraosseous carcinoma of the mandible: case report and review of the literature. J Oral Maxillofac Surg 2010; 68 : 2623-9. https://doi.org/10.1016/j.joms.2009.12.016
  9. Kaffe I, Ardekian L, Peled M, Machtey E, Laufer D. Radiological features of primary intra-osseous carcinoma of the jaws. Analysis of the literature and report of a new case. Dentomaxillofac Radiol 1998; 27 : 209-14. https://doi.org/10.1038/sj.dmfr.4600351
  10. Thomas G, Pandey M, Mathew A, Abraham EK, Francis A, Somanathan T, et al. Primary intraosseous carcinoma of the jaw: pooled analysis of world literature and report of two new cases. Int J Oral Maxillofac Surg 2001; 30 : 349-55. https://doi.org/10.1054/ijom.2001.0069
  11. Hwang EH, Choi YS, Lee SR. Primary intraosseous carcinoma of the mandible. Korean J Oral Maxillofac Radiol 2005; 35 :235-9.
  12. Thomas G, Sreelatha KT, Balan A, Ambika K. Primary intaosseous carcinoma of the mandible - a case report and review of the literature. Eur J Surg Oncol 2000; 26 : 82-6. https://doi.org/10.1053/ejso.1999.0746
  13. Dimitrakopoulos I, Psomaderis K, Asimaki A, Papaemanouel S, Karakasis D. Primary de novo intraosseous carcinoma: report of two cases. J Oral Maxillofac Surg 2005; 63 : 1227-30. https://doi.org/10.1016/j.joms.2005.04.009
  14. To EH, Brown JS, Avery BS, Ward-Booth RP. Primary intraosseous carcinoma of the jaws. Three new cases and a review of the literature. Br J Oral Maxillofac Surg 1991; 29 : 19-25. https://doi.org/10.1016/0266-4356(91)90168-5
  15. Woolgar JA, Triantafyllou A, Ferlito A, Devaney KO, Lewis JS Jr, Rinaldo A, et al. Intraosseous carcinoma of the jaws: a clinicopathologic review. Part III: primary intraosseous squamous cell carcinoma. Head Neck (in press).

Cited by

  1. Nonendodontic Lesions Misdiagnosed as Apical Periodontitis Lesions: Series of Case Reports and Review of Literature vol.40, pp.1, 2014, https://doi.org/10.1016/j.joen.2013.08.021
  2. Keratocystic odontogenic tumour arising as a periapical lesion vol.47, pp.8, 2012, https://doi.org/10.1111/iej.12220
  3. Primary intraosseous squamous cell carcinoma in pre-existing keratocystic odontogenic tumor: A case report and literature review vol.4, pp.2, 2016, https://doi.org/10.3892/mco.2015.678
  4. Solid type primary intraosseous squamous cell carcinoma in a cat vol.14, pp.None, 2012, https://doi.org/10.1186/s12917-018-1344-0
  5. Primary intraosseous carcinoma, NOS in a 17‐year‐old male: case report and literature review vol.13, pp.2, 2012, https://doi.org/10.1111/ors.12466
  6. Magnetic resonance imaging versus cone beam computed tomography in diagnosis of periapical pathosis - A systematic review vol.33, pp.8, 2021, https://doi.org/10.1016/j.sdentj.2021.09.010