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Osteosarkom, çoğu adelosan hastaların uzun kemiklerinde görülen, neoplastik kemik oluşumu ile karakterize malign bir tümördür. Klinik ve radyolojik olarak osteonekroz, fibro-osseöz lezyonlar ile ayırıcı tanılarının yapılması önemlidir. Bu bildiride, mandibulada gömülü diş çevresinde primer olarak gelişen kondroblastik tipte osteosarkom olgusunun, erken ve geç dönem klinik ve radyolojik bulgularının sunumu ve güncel literatürde yayınlanmış benzer vakaların derlenerek paylaşılması amaçlanmaktadır. Ağrı ve dudakta karıncalanma şikayetiyle başvuran hastanın ağız içi muayenesinde diş çekim soketlerinde solid şişlik bulunduğu görülmüş, radyolojik muayenede skleroz ve radyoopak odaklar izlenmiştir. Alınan biyopsi sonucu lezyon histopatolojik olarak kondroblastik tip osteosarkom olarak tanımlanmıştır. Hastaya hemi-mandibulektomi ile eş zamanlı rekonstrüksiyon uygulandı. Hasta 3,5 yıl süresince, 1. yılda nüks nedeniyle tekrar opere edildi, takiplerine devam edilmektedir. Çene kemiklerinde görülen osteosarkomların prognozu her ne kadar uzun kemiklere göre daha iyi olsa da hasta için ciddi morbidite ve mortalite sebebidir, ilk teşhiste dental enfeksiyonlar ile karışabilmektedir. Bu nedenle ciddi radyolojik ve klinik değerlendirme önemlidir.
Osteosarcoma is a malignant tumor characterized by neoplastic bone formation, usually seen in the long bones of adolescent patients. Clinically and radiologically, it is important to make differential diagnosis with osteonecrosis, fibroooseeous lesions. In this report, it is aimed to present a case of chondroblastic type osteosarcoma that developed primarily around the tooth embedded in the mandible, early and late clinical and radiological findings, and to compile and share similar cases published in the current literature. The injury was defined as chondroblastic type osteosarcoma as a result of biopsy taken from the tooth extraction sockets of the patient who presented with pain and tingling in the lips. The patient underwent simultaneous reconstruction with hemimandibulectomy. Although the prognosis of osteosarcomas seen in the jaw bones is better than the long bones, it is a serious cause of morbidity and mortality for the patient, and may be confused with dental infections in the first diagnosis. Therefore, serious radiological and clinical evaluation is important.
Osteosarcoma is a malignant tumour characterized by neoplastic bone formation, usually seen in the long bones of adolescent patients. Clinically and radiologically, it is important to make differential diagnosis with osteonecrosis, fibroooseeous lesions. In this report, it is aimed to present a case of chondroblastic type osteosarcoma that developed primarily around the tooth embedded in the mandible, early and late clinical and radiological findings, and to compile and share similar cases published in the current literature. The lesion was defined as chondroblastic type osteosarcoma as a result of biopsy taken from the tooth extraction sockets of the patient who presented with pain and tingling in the lips. The patient underwent simultaneous reconstruction with hemimandibulectomy. Although the prognosis of osteosarcomas seen in the jaw bones is better than the long bones, it is a serious cause of morbidity and mortality for the patient, and may be confused with dental infections in the first diagnosis. Therefore, serious radiological and clinical evaluation is important.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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