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http://dx.doi.org/10.5624/isd.20210046

An unusual presentation of osteoblastoma of the maxilla: A case report  

Lim, Joonbum (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook)
Hinchy, Nicole (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook)
Odingo, Nora (Division of Oral and Maxillofacial Pathology, Department of Oral and Maxillofacial Surgery, School of Dental Medicine, State University of New York at Stony Brook)
Colosi, Dan (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook)
Mahdian, Mina (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook)
Publication Information
Imaging Science in Dentistry / v.51, no.4, 2021 , pp. 455-460 More about this Journal
Abstract
This report presents a rare case of maxillary osteoblastoma in a 17-year-old female. The patient presented with dull pain and facial asymmetry inferior to the left zygoma. An intraoral examination found a painless swelling on the buccal gingival tissue in the left posterior maxilla. Panoramic radiographs and multidetector computed tomographic images revealed an ill-defined, non-corticated, mixed attenuating entity of osseous density located within the left posterior maxilla apical to the left maxillary molars. The entity exhibited a heterogeneous internal structure with a fine granular appearance, and the periphery showed a partial hypo-attenuating rim along the antero-medial aspect. Expansion of the left posterior maxilla accompanied with displacement of the left maxillary sinus floor was noted. External root resorption of the first and second molars was noted, as well as postero-superior displacement of the third molar. The histopathologic diagnosis of the biopsy was osteoblastoma. Complete excision of the tumor was performed.
Keywords
Osteoblastoma; Maxilla; Multidetector Computed Tomography; Radiography, Panoramic;
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1 Triantafillidou K, Venetis G, Karakinaris G, Iordanidis F. Ossifying fibroma of the jaws: a clinical study of 14 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:193-9.   DOI
2 Koenig LJ, Tamimi D, Petrikowski CG, Perschbacher SE. Diagnostic Imaging: Oral and Maxillofacial. 2nd ed. Philadelphia: Elsevier; 2018. p. 478-9.
3 Ozger H, Alpan B, Soylemez MS, Ozkan K, Salduz A, Bilgic B, et al. Clinical management of a challenging malignancy, osteoblastoma-like osteosarcoma: a report of four cases and a review of the literature. Ther Clin Risk Manag 2016; 12: 1261-70.   DOI
4 Bilodeau E, Collins B, Costello B, Potluri A. Case report: a pediatric case of cementoblastoma with histologic and radiographic features of an osteoblastoma and osteosarcoma. Head Neck Pathol 2010; 4: 324-8.   DOI
5 Wozniak AW, Nowaczyk MT, Osmola K, Golusinski W. Malignant transformation of an osteoblastoma of the mandible: case report and review of the literature. Eur Arch Otorhinolaryngol 2010; 267: 845-9.   DOI
6 Salmen FS, Oliveira MR, Navarro CM, Dedivitis RA, Pereira Filho VA, Gabrielli MF. Aggressive osteoblastoma in the maxilla: unusual lesion in the craniofacial skeleton. J Craniofac Surg 2017; 28: 794-7.   DOI
7 Bilodeau E, Collins B, Costello B, Potluri A. Case report: a pediatric case of cementoblastoma with histologic and radiographic features of an osteoblastoma and osteosarcoma. Head Neck Pathol 2010; 4: 324-8.   DOI
8 McCann JM, Tyler D Jr, Foss RD. Sino-orbital osteoma with osteoblastoma-like features. Head Neck Pathol 2015; 9: 503-6.   DOI
9 MacDonald D. Oral and maxillofacial radiology: a diagnostic approach. 2nd ed. Chichester: Wiley-Blackwell; 2020. p. 317-9.
10 Slootweg PJ, Panders AK, Koopmans R, Nikkels PG. Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Pathol Med 1994; 23: 385-8.   DOI
11 Jones AC, Prihoda TJ, Kacher JE, Odingo NA, Freedman PD. Osteoblastoma of the maxilla and mandible: a report of 24 cases, review of the literature, and discussion of its relationship to osteoid osteoma of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102: 639-50.   DOI
12 Shah S, Kim JE, Huh KH, Yi WJ, Heo MS, Lee SS. Recurrent osteoblastoma of the maxilla. Dentomaxillofac Radiol 2013; 42: 20100263.   DOI
13 Neville BW, Damm DD, Allen CM, Chi AC. Oral and maxillofacial pathology. 4th ed. St. Louis: Elsevier; 2016. p. 608-9.
14 Atesok KI, Alman BA, Schemitsch EH, Peyser A, Mankin H. Osteoid osteoma and osteoblastoma. J Am Acad Orthop Surg 2011; 19: 678-89.   DOI
15 Mallya SM, Lam EW. White and Pharoah's oral radiology: principles and interpretation. 8th ed. St. Louis: Elsevier; 2019. p. 442-3.
16 Angiero F, Mellone P, Baldi A, Stefani M. Osteoblastoma of the jaw: report of two cases and review of the literature. In Vivo 2006; 20: 665-70.
17 Berry M, Mankin H, Gebhardt M, Rosenberg A, Hornicek F. Osteoblastoma: a 30-year study of 99 cases. J Surg Oncol 2008; 98: 179-83.   DOI
18 Ohkubo T, Hernandez JC, Ooya K, Krutchkoff D. "Aggressive" osteoblastoma of the maxilla. Oral Surg Oral Med Oral Pathol 1989; 68: 69-73.   DOI
19 Jaffe HL, Mayer L. An osteoblastic osteoid tissue-forming tumor of a metacarpal bone. Arch Surg 1932; 24: 550-64.   DOI
20 Jaffe HL. Benign osteoblastoma. Bull Hosp Joint Dis 1956; 17: 141-51.
21 MacDonald-Jankowski. Fibro-osseous lesions of the face and jaws. Clin Radiol 2004; 59: 11-25.   DOI
22 MacDonald-Jankowski D. Fibrous dysplasia in the jaws of a Hong Kong population: radiographic presentation and systematic review. Dentomaxillofac Radiol 1999; 28: 195-202.   DOI
23 McCarthy EF. Fibro-osseous lesions of the maxillofacial bones. Head Neck Pathol 2013; 7: 5-10.   DOI
24 MacDonald-Jankowski DS. Cemento-ossifying fibromas in the jaws of Hong Kong Chinese. Dentomaxillofac Radiol 1998; 27: 298-304.   DOI