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http://dx.doi.org/10.5624/isd.2019.49.1.71

Delayed diagnosis of a primary intraosseous squamous cell carcinoma: A case report  

Abdelkarim, Ahmed Z. (Department of Anatomy, Biochemistry and Physiology, University of Hawai'i School of Medicine)
Elzayat, Ahmed M. (Department of Oral and Maxillofacial Surgery, Insurance Hospital)
Syed, Ali Z. (Oral and Maxillofacial Medicine and Diagnostics Science, CWRU School of Dental Medicine)
Lozanoff, Scott (Department of Anatomy, Biochemistry and Physiology, University of Hawai'i School of Medicine)
Publication Information
Imaging Science in Dentistry / v.49, no.1, 2019 , pp. 71-77 More about this Journal
Abstract
Primary intraosseous squamous cell carcinoma is a rare malignant central jaw tumor derived from odontogenic epithelial remnants. Predominantly, it affects mandible, although both jaw bones may be involved. This report describes a 60-year-old man who was initially misdiagnosed with a periapical infection related to the right lower wisdom tooth. After four months, the patient presented to a private dental clinic with a massive swelling at the right side of the mandible. Panoramic radiographs and advanced imaging revealed a lesion with complete erosion of the right ramus, which extended to the orbital floor. A biopsy from the mandibular angle revealed large pleomorphic atypical squamous cells, which is the primary microscopic feature of a poorly differentiated squamous cell carcinoma.
Keywords
Carcinoma, Squamous Cell; Mandible; Delayed Diagnosis; Computed Tomography, X-Ray; Magnetic Resonance Imaging;
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