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Osteogenic Sarcoma에 관한 연구
A STUDY ON OSTOGENIC SARCOMA

치과방사선 1993년 23권 1호 p.95 ~ 102

박응천, 김영일, 최원재, 김영진,

소속 상세정보

박응천 (  ) - 조선대학교 치과대학 구강악안면방사선학교실
김영일 (  ) - 조선대학교 치과대학 구강악안면방사선학교실
최원재 (  ) - 조선대학교 치과대학 구강악안면방사선학교실
김영진 (  ) - 조선대학교 치과대학 구강악안면방사선학교실

KMID : 0378219930230010095

Abstract

저자는 이상의 제반 임상적, 방사선학적, 조직병리학적 소견에 의하여 악골의 골육종으로
진단된 오른쪽 안면 부위의 동통성 종창을 주소로 보원에 내원한 11세 여자 환자에게서 다
음의 소견을 얻었다.
1. 환자에게서 큰 hematoma를 관찰할 수 있었으며, 환자는 동통성 종창을 호소하였다.
2. 골육종으로 작용하는 소인은 없었으나 내원전에 발치한 병력을 가지고 있었다.
3. 특이한 실험실 소견은 없었으며 serum alkaline level도 정상이었다.
4. 방사선 소견
① Diffuse paint radiopacity in the lesion
② Bony destruction and increased radiopacity in Rt. antrum
③ Displacement of multiple teeth on involved area(i.e # 12, 15, 55, 16, 17, 18)
④ Increased periodontal space of in single tooth(# 13)
⑤ Destruction of bony crypt on involved teeth(# 13, 14, 15, 17, 18)
⑥ Loss of lamina dura of three teeth in involved area(# 11, 12, 16)
5. 전산화 단층촬영 소견
① Large calcific and heterogenous component mass in the Rt. maxillary sinus, and
this mass extending to Rt. maxilla, alveolar bone, ethmoid sinus.
② Soft tissue bulging into Rt. side nasal cavity and oral cavity.
③ Bone destruction on maxillary sinus wall and Rt. alveolar bone.
#초록#
The author observed a case of osteogenic sarcoma in a 11-year-old femal with
complaint of painful swelling on face in right side.
The observed results were as follows :
1. Large hematoma was obsered, and patient complanited painfull swelling on c/c site.
2. Predisposing factor osteogenic sarcome was not clear, but patient had historyof
extraction before patient visiting infirmary of our dental collage.
3. Serologic finding were not specific, and serum alkaline level was normal.
4. Radiographic finding were as follow :
① Diffuse paint radiopacity in the lesion
② Bony destruction and increased radiopacity in Rt. antrum
③ Displacement of multiple teeth on involved area(i.e # 12, 15, 55, 16, 17, 18)
④ Increased periodontal space of in single tooth(# 13)
⑤ Destruction of bony crypt on involved teeth(# 13, 14, 15, 17, 18)
⑥ Loss of lamina dura of three teeth in involved area(# 11, 12, 16)
5. Computed tomographic findings were as follows :
① Large calcific and heterogenous component mass in the Rt. maxillary sinus, and
this mass extending to Rt. maxilla, alveolar bone, ethmoid sinus.
② Soft tissue bulging into Rt. side nasal cavity and oral cavity.
③ Bone destruction on maxillary sinus wall and Rt. alveolar bone.