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Primary intraosseous squamous cell carcinoma mimicking periapical disease: a case report

Imaging Science in Dentistry 2012³â 42±Ç 4È£ p.265 ~ 270
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ÃÖÀ±ÁÖ ( Choi Yoon-Joo ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Radiology
¿À¼ÛÈñ ( Oh Song-Hee ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Radiology
°­ÁÖÇÑ ( Kang Ju-Han ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Radiology
ÃÖÈ­¿µ ( Choi Hwa-Young ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Radiology
±è±ÔÅ ( Kim Gyu-Tae ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Radiology
À¯ÀçÁ¤ ( Yu Jae-Jung ) - Hallym Medical Center Kangdong Sacred Heart Hospital Department of Oral and Maxillofacial Radiology
ÃÖ¿ë¼® ( Choi Yong-Suk ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Radiology
ȲÀÇȯ ( Hwang Eui-Hwan ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


Primary intraosseous squamous cell carcinoma (PIOSCC) is a rare carcinoma, which arises within the jaws without connection to the oral mucosa and presumably develops from a remnant of odontogenic epithelium. We present a case of solid type PIOSCC in a 52-year-old male patient complaining of dull pain on his left lower molar. In this case, early stage PIOSCC mimicking a periapical lesion might lead to a one-year delay in treatment due to the misdiagnosis of osteomyelitis after extraction of the third molar. The clinical, radiological, and histologic features are described. In this case, there was initial radiographic evidence for PIOSCC mimicking a periapical lesion. Incautious radiographic interpretation and treatment procedures had delayed the correct diagnosis and resulted in extensive bony destruction during the patient¡¯s disease progression.

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Carcinoma; Squamous Cell; Head and Neck Neoplasms; Periapical Disease; Mandible

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