하악골에 발생한 원발성 골내암종의 치험례
PRIMARY INTRAOSSEOUS CARCINOMA ON MANDIBLE : A CASE REPORT
김학렬, 류동목, 오정환,
소속 상세정보
김학렬 ( Kim Hak-Ryeol ) - 경희대학교 치과대학 구강악안면외과학교실
류동목 ( Ryu Dong-Mok ) - 경희대학교 치과대학 구강악안면외과학교실
오정환 ( Oh Jung-Hwan ) - 경희대학교 치과대학 구강악안면외과학교실
KMID : 0355620070330030263
Abstract
Primary intraosseous carcinoma (PIOC) is a rare odontogenic carcinoma defined as a squamous cell carcinoma arising within a jaw having no initial connection with the oral mucosa, and probably developing from residues of the odontogenic epithelium. PIOC appears more common in male than female, especially at posterior portion of the mandible.
Radiographic features of PIOC show irregular patterns of bone destruction with ill defined margins. It could be sometimes misdiagnosed as the cyst or benign tumor because it shows well defined margins. If it couldn’t be done appropriate treatment initially, PIOC shows extremely aggressive involvement, extensive local destruction and spreads to the overlying soft tissue. Therefore accurate diagnosis in early state is necessary.
The diagnosis criteria proposed for PIOC are : (1) absence of ulcer formation, except when caused by other factors, (2) histologic evidence of squamous cell carcinoma without a cystic component or other odontogenic tumor cell, and (3) absence of another primary tumor on chest radiograph obtained at the time of diagnosis and during a follow-up period of more than 6 month(Suei et al., 1994).
키워드
Primary intraosseous carcinoma;Mandible;Odontogenic carcinoma
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