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Low-grade osteosarcoma arising from cemento-ossifying fibroma: a case report

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ÀÌ¿ëºó ( Lee Yong-Bin ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
±è³²±Ô ( Kim Nam-Kyoo ) - Catholic Kwandong University International St. Mary¡¯s Hospital Department of Dentistry
±èÀ翵 ( Kim Jae-Young ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Oral and Maxillofacial Surgery
±èÇüÁØ ( Kim Hyung-Jun ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


Cemento-ossifying fibromasare benign tumors, and, although cases of an aggressive type have been reported, no cases of cemento-ossifying fibromatransforming into osteosarcoma have been documented previously. Low-grade osteosarcoma is a rare type of primary bone tumor, representing 1%-2% of all osteosarcomas. A 45-year-old female patient was diagnosed with cemento-ossifying fibroma,treated with mass excision several times over a period of two years and eight months, and followed up. After biopsy gathered because of signs of recurrence, she was diagnosed with low-grade osteo-sarcoma. The patient underwent wide excision, segmental mandibulectomy, and reconstruction with fibulafree flap.The aim of this report is to raise awareness of the possibility that cemento-ossifying fibromacan transform into osteosarcoma and of the consequent necessity for careful diagnosis and treatment planning.

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Cemento ossifying fibroma; Low-grade osteosarcom

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