Delayed diagnosis of a primary intraosseous squamous cell carcinoma: A case report
- Author:
Ahmed Z ABDELKARIM
1
;
Ahmed M ELZAYAT
;
Ali Z SYED
;
Scott LOZANOFF
Author Information
- Publication Type:Case Report
- Keywords: Carcinoma, Squamous Cell; Mandible; Delayed Diagnosis; Computed Tomography, X-Ray; Magnetic Resonance Imaging
- MeSH: Atypical Squamous Cells of the Cervix; Biopsy; Carcinoma, Squamous Cell; Delayed Diagnosis; Dental Clinics; Epithelial Cells; Humans; Jaw; Magnetic Resonance Imaging; Mandible; Middle Aged; Molar, Third; Orbit; Tomography, X-Ray Computed
- From:Imaging Science in Dentistry 2019;49(1):71-77
- CountryRepublic of Korea
- Language:English
- Abstract: Primary intraosseous squamous cell carcinoma is a rare malignant central jaw tumor derived from odontogenic epithelial remnants. Predominantly, it affects mandible, although both jaw bones may be involved. This report describes a 60-year-old man who was initially misdiagnosed with a periapical infection related to the right lower wisdom tooth. After four months, the patient presented to a private dental clinic with a massive swelling at the right side of the mandible. Panoramic radiographs and advanced imaging revealed a lesion with complete erosion of the right ramus, which extended to the orbital floor. A biopsy from the mandibular angle revealed large pleomorphic atypical squamous cells, which is the primary microscopic feature of a poorly differentiated squamous cell carcinoma.
