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Bhat A, Smart R, Egbert M, Susarla S. Benign Non-odontogenic Pathology. Oral Maxillofac Surg Clin North Am 2024:S1042-3699(24)00007-4. [PMID: 38402139 DOI: 10.1016/j.coms.2024.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2024]
Abstract
This article provides a comprehensive overview of benign non-odontogenic pathologies. Bone-derived lesions like osteoma, osteoid osteoma, osteoblastoma, and osteochondroma are discussed in detail, emphasizing their radiographic features, locations, and treatment strategies. Cartilage-derived lesions such as chondroma, chondroblastoma, and chondromyxoid fibroma are also examined, noting their typical presentation and management approaches. The article then delves into fibroconnective tissue lesions. Mesenchymal and vascular lesions are detailed regarding their clinical and radiographic characteristics and treatment options. Lastly, nerve-derived lesions like schwannoma and neurofibroma are covered, providing insights into their association with diseases like neurofibromatosis and preferred management strategies.
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Affiliation(s)
- Aparna Bhat
- Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA
| | - Ryan Smart
- Department of Surgery, University of North Dakota School of Medicine and Health Sciences, Private clinic 2585 23rd Avenue South, Fargo, ND 58103, USA.
| | - Mark Egbert
- Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA; Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, 1959 Northeast Pacific Street, B-307, Seattle, WA 98195, USA; Craniofacial Center, Seattle Children's Hospital, 4800 Sand Point Way Northeast, Seattle, WA 98015, USA
| | - Srinivas Susarla
- Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, B-307, Seattle, WA 98195, USA; Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, 1959 Northeast Pacific Street, B-307, Seattle, WA 98195, USA; Craniofacial Center, Seattle Children's Hospital, 4800 Sand Point Way Northeast, Seattle, WA 98015, USA
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2
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Wang L, Guo J, Tang Z. Osteoblastoma of the maxilla: A case report and review of the literature. Oral Oncol 2023; 136:106268. [PMID: 36481510 DOI: 10.1016/j.oraloncology.2022.106268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 11/16/2022] [Accepted: 11/20/2022] [Indexed: 12/12/2022]
Abstract
Osteoblastoma is a benign tumour with aggressive trait usually seen in young males between 10 and 40 years of age. This condition is quite rare in children. Here, we report one such rare osteoblastoma occurring in the maxilla of a 4-year-old boy and discuss the clinical presentation, radiologic and histologic features, and treatment of this patient, and a brief review.
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Affiliation(s)
- Liping Wang
- Hunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Academician Workstation for Oral-maxilofacial and Regenerative Medicine & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, China.
| | - Jiasheng Guo
- Hunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Academician Workstation for Oral-maxilofacial and Regenerative Medicine & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, China.
| | - Zhangui Tang
- Hunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Academician Workstation for Oral-maxilofacial and Regenerative Medicine & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, China.
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3
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Ellingsen T, Nalley A, Oda D, Dodson TB, Lee PP, Jornet PL. Osteoblastoma and Osteoid Osteoma of the Mandible: Review of the Literature and Report of Two Cases. Case Rep Dent 2022; 2022:1-11. [PMID: 35300290 PMCID: PMC8923807 DOI: 10.1155/2022/7623855] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 02/18/2022] [Accepted: 02/19/2022] [Indexed: 01/05/2023] Open
Abstract
Osteoblastoma and osteoid osteoma are rare benign neoplasms of the jaws. We reviewed current literature surrounding the ongoing debate over similarities and differences of osteoblastoma and osteoid osteoma and present two cases. Both cases are well-demarcated mixed radiodensity mandibular lesions with histological features of osteoblastoma. They exhibit, however, distinctly unique and contrasting clinical and imaging characteristics suggesting that the first case is osteoblastoma and the second is osteoid osteoma. The first case of a 37-year-old male presents with a large, expansile lesion at posterior mandible, surrounded by a thick sclerotic band. Unusual features include significant buccal/lingual expansion, extensive new bone apposition, and soft tissue edema in the masseter muscle. This is in contrast to the second case of a much smaller lesion in a 17-year-old male with history of recent third molar extraction in the left posterior mandible. In this case, CT imaging revealed a circular, nonexpansile lesion with a sclerotic border surrounded by a radiolucent rim. Both patients underwent surgical excision of the lesion with extraction of the adjacent tooth. We discuss herein the distinct clinical and imaging features.
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4
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Gonuguntla S, Nama R, Vanajakshi CN, Mandadi SR, Madireddy JR. Osteoblastoma of Mandible in Child: A Case Report. J Pharm Bioallied Sci 2020; 12:S640-S643. [PMID: 33149535 PMCID: PMC7595502 DOI: 10.4103/jpbs.jpbs_100_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 02/05/2020] [Accepted: 03/02/2020] [Indexed: 11/23/2022] Open
Abstract
Osteoblastoma is considered as a bone tumor, which is benign and arises from non-odontogenic epithelium. This condition is quite rare in children and very few cases of osteoblastoma are reported. The case report describes osteoblastoma affecting mandible in an 8-year-old boy. It was noticed that the lesion began to show gradual enlargement and was painful. An excisional biopsy was carried out. Histopathological examination revealed eosinophilic bony trabeculae, lined by osteoblasts, with osteocytes within lacunae. Intertwining connective tissue showed delicate collagen fibers, numerous vascular channels, and extravasated RBCs. It was finally diagnosed as osteoblastoma based on the features of clinical, histological, and radiographic appearance.
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Affiliation(s)
- Sudhir Gonuguntla
- Department of Oral Pathology, Malla Reddy Institute of Dental Sciences, Hyderabad, Telangana, India
| | - Ravikiran Nama
- Department of Pediatric and Preventive Dentistry, Osmania Dental College, Hyderabad, Telangana, India
| | - C N Vanajakshi
- Department of Oral Pathology, Sree Sai Dental College and Research Institution, Srikakulam, Andhra Pradesh, India
| | - Sharan Reddy Mandadi
- Department of Pediatric and Preventive dentistry, Malla Reddy Institute of Dental Sciences, Hyderabad, Telangana, India
| | - Jhansi Reddy Madireddy
- Department of Pediatric and Preventive dentistry, Malla Reddy Institute of Dental Sciences, Hyderabad, Telangana, India
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5
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Pereira TDSF, Andrade BAB, Romañach MJ, Pereira NB, Gomes CC, Mariz BALA, Almeida OP, Agostini M, van Heerden WFP, Carlos R, Gomez RS, Fonseca FP. Clinicopathologic study of 6 cases of epithelioid osteoblastoma of the jaws with immunoexpression analysis of FOS and FOSB. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 130:191-9. [PMID: 32482537 DOI: 10.1016/j.oooo.2020.03.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 01/06/2020] [Accepted: 03/08/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The aim of this study was to describe the clinicopathologic features of a series of gnathic epithelioid osteoblastomas. As high levels of Proto-oncogene c-Fos proteins resulting from FOS-FOSB translocation were recently demonstrated in osteoblastomas, we also evaluated the immunoexpression of these proteins. STUDY DESIGN Records of all cases of epithelioid osteoblastoma of the jaws were retrieved from oral pathology services, and their clinicopathologic and immunohistochemical data were collected. Immunohistochemistry was also performed by using anti-FOS and anti-FOSB antibodies. RESULTS Six cases of epithelioid osteoblastomas were obtained, 4 in men and 2 in women, and they were mainly located in the posterior body of the mandible (n = 4). Radiographically, the tumors showed mixed radiolucent and radiopaque images, most with poorly defined margins. Microscopically, large epithelioid cells with eccentrically located nuclei predominated among osteoid and immature bone trabeculae. Sharp delineation from adjacent normal bone was observed in all cases. FOS immunostaining was diffuse and strong in the cytoplasm and nucleus of neoplastic cells in all cases, whereas FOSB was only focally positive, with few epithelioid osteoblasts showing nuclear staining. CONCLUSIONS Although epithelioid osteoblastomas of the jaws are locally aggressive, widespread metastasis does not occur, and, as with conventional osteoblastomas, there is wide expression of the FOS protein.
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Sahu S, Padhiary S, Banerjee R, Ghosh S. Osteoblastoma of Mandible: A Unique Entity. Contemp Clin Dent 2020; 10:402-405. [PMID: 32308310 PMCID: PMC7145246 DOI: 10.4103/ccd.ccd_676_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Osteoblastoma is an uncommon osteoblastic tumor that rarely involves facial bones. It is an uncommon lesion that accounts for 1% of all bone tumors and about 3% of all benign bone tumors. Here, we present a case of 35-year-old female with benign osteoblastoma on the right side of the mandible which was growing for the past 3 years. Clinical presentation, radiologic and histologic features, and treatment and follow-up of this patient are discussed in this paper. Proper diagnosis of this lesion is very important because of its similarity to others lesions. There are very few reported cases of this rare entity; the primary aim of this article is to add more cases of this rare phenomenon to literature and provide a descriptive review.
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Affiliation(s)
- Sudipto Sahu
- Department of Oral and Maxillofacial Surgery, Haldia Institute of Dental Sciences and Research, West Bengal University of Health Sciences, Haldia, West Bengal, India
| | - Subrat Padhiary
- Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
| | - Rajarshi Banerjee
- Department of Oral and Maxillofacial Surgery, Haldia Institute of Dental Sciences and Research, West Bengal University of Health Sciences, Haldia, West Bengal, India
| | - Sucharu Ghosh
- Department of Oral and Maxillofacial Surgery, Haldia Institute of Dental Sciences and Research, West Bengal University of Health Sciences, Haldia, West Bengal, India
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7
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Abstract
Osteoid osteoma is an osteoblastic benign bone tumor more frequent in long bones of young male patients. It is the third most commonly diagnosed benign bone tumor and has distinctive symptomatology, nocturnal pain that relieves with nonsteroidal anti-inflammatory drugs. Nowadays, total resection is the preferred management. In the present paper, an unusual variant in the maxilla of a female elderly patient without previous symptomatology is exposed; it was surgically removed without signs of reappearance in 12 months of follow-up. Although it is not a common site of appearance, the manifestation of this tumor in the skull bones seems to be associated with a different pattern in contrast to the skeletal type as can be seen in the present case and others previously reported. The authors consider due to the clinical similarity between this and other tumors that it should be taken into consideration for future diagnosis dilemma.
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Affiliation(s)
- Iván Alejandro Díaz-Rengifo
- Physician and Surgeon, Rosario University, Young Researcher Colciencias in University of Cartagena, GITOUC Research Group, Colombia
| | - Antonio José Díaz-Caballero
- Dentist, University of Cartagena, Periodontist, Javeriana University, Master in Education, Universidad Del Norte, Phd in Biomedical Sciences, University of Cartagena, Faculty of Dentistry Professor in University of Cartagena, GITOUC Research Group, Colombia
| | - Katherine Redondo-De Oro
- Physician Specialist in Pathology, University of Cartagena, Faculty of Medicine Professor in University of Cartagena, Colombia
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8
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Sam DM, Kumar SP, Varma B, David AP, Suresh R. Benign osteoblastoma of the palate: a rare clinical presentation. Oral Radiol 2020; 36:107-11. [PMID: 30684212 DOI: 10.1007/s11282-019-00370-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2016] [Accepted: 12/06/2018] [Indexed: 10/27/2022]
Abstract
Osteoblastoma is a rare, benign type of osteoblastic tumor. It constitutes approximately 1% of all primary bone tumors. Osteoblastoma most commonly affects the long bones; it very rarely affects the jaw bones. Because of its clinical and histological similarity with other bony tumors, such as osteoid osteoma and fibro-osseous lesions, osteoblastoma is a diagnostic challenge. Very few cases of osteoblastoma involving the maxillofacial region have been reported to date. We herein describe a 15-year-old female patient with osteoblastoma that presented as a palatal swelling of 6 months' duration.
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9
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Silva BSF, Bueno MR, Yamamoto-Silva FP, Gomez RS, Peters OA, Estrela C. Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions. Braz Oral Res 2017; 31:e52. [PMID: 28678971 DOI: 10.1590/1807-3107bor-2017.vol31.0052] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Accepted: 05/21/2017] [Indexed: 11/22/2022] Open
Abstract
Great attention has been given to the study of radiolucent periapical lesions to avert possible misdiagnosis of apical periodontitis associated with certain radiolucent non-endodontic lesions. However, there are a significant number of radiopaque lesions found in the periapical region, which could be equally relevant to endodontic practice. The diagnosis and management of these radiopaque/hyperdense lesions could be challenging to the endodontist. These bone alterations could be neoplastic, dysplastic or of metabolic origin. In the context of the more widespread use of cone-beam CT, a detailed review of radiopaque inflammatory and non-inflammatory lesions is timely and may aid clinicians perform a differential diagnosis of these lesions. Distinguishing between inflammatory and non-inflammatory lesions simplifies diagnosis and consequently aids in choosing the correct therapeutic regimen. This review discusses the literature regarding the clinical, radiographic, histological and management aspects of radiopaque/hyperdense lesions, and illustrates the differential diagnoses of these lesions.
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Affiliation(s)
| | - Mike Reis Bueno
- Universidade de Cuiabá - UNIC, School of Dentistry, Department of Stomatology, University of Cuiabá, Cuibá, MT, Brazil
| | - Fernanda P Yamamoto-Silva
- Universidade Federal de Goiás - UFG, School of Dentistry, Department of Stomatologic Sciences, Goiânia, GO, Brazil
| | - Ricardo Santiago Gomez
- Universidade Federal de Minas Gerias - UFMG, School of Dentistry, Department of Oral Surgery and Pathology, Belo Horizonte, MG, Brazil
| | - Ove Andreas Peters
- University of the Pacific, Arthur A. Dugoni School of Dentistry, Department of Endodontics, San Francisco, CA, United States of America
| | - Carlos Estrela
- Universidade Federal de Goiás - UFG, School of Dentistry, Department of Stomatologic Sciences, Goiânia, GO, Brazil
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10
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Salmen FS, Oliveira MR, Navarro CM, Dedivitis RA, Pereira Filho VA, Gabrielli MFR. Aggressive Osteoblastoma in the Maxilla: Unusual Lesion in the Craniofacial Skeleton. J Craniofac Surg 2017; 28:794-7. [DOI: 10.1097/scs.0000000000003641] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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11
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Richardson S, Khandeparker RV, Sharma K. A large osteoid osteoma of the mandibular condyle causing conductive hearing loss: a case report and review of literature. J Korean Assoc Oral Maxillofac Surg 2017; 43:106-114. [PMID: 28462195 PMCID: PMC5410422 DOI: 10.5125/jkaoms.2017.43.2.106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2015] [Revised: 01/08/2016] [Accepted: 01/09/2016] [Indexed: 11/25/2022] Open
Abstract
Osteoid osteomas are benign skeletal neoplasms that are commonly encountered in the bones of the lower extremities, but are exceedingly rare in jaw bones with a prevalence of less than 1%. This unique clinical entity is usually seen in younger individuals, with nocturnal pain and swelling as its characteristic clinical manifestations. The size of the lesion is rarely found to be more than 2 cm. We hereby report a rare case of osteoid osteoma originating from the neck of the mandibular condyle that grew to large enough proportions to result in conductive hearing loss in addition to pain, swelling and restricted mouth opening. In addition, an effort has been made to review all the documented cases of osteoid osteomas of the jaws that have been published in the literature thus far.
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Affiliation(s)
| | | | - Kapil Sharma
- Richardsons Dental and Craniofacial Hospital, Nagercoil, India
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12
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Emanuelsson J, Allen CM, Rydin K, Sjöström M. Osteoblastoma of the temporal articular tubercle misdiagnosed as a temporomandibular joint disorder. Int J Oral Maxillofac Surg 2017; 46:610-3. [PMID: 28043747 DOI: 10.1016/j.ijom.2016.12.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 10/20/2016] [Accepted: 12/12/2016] [Indexed: 11/22/2022]
Abstract
The case of a 17-year-old female with a benign osteoblastoma in the temporomandibular joint (TMJ) is reported. The patient had a 2.5-year history of reduced mouth opening accompanied by tenderness and swelling in the left TMJ. Initial treatment included stabilization of the occlusion with a splint, jaw exercises, and analgesics. At first the patient's symptoms decreased, but they then increased 18 months later, prompting a cone beam computed tomography (CBCT) evaluation of the joint. The radiographic findings showed a somewhat ill-defined, radiolucent, expansile lesion containing small scattered calcifications located in the temporal articular tubercle. The lesion was removed under general anaesthesia and sent for histopathological examination. At the 12-month follow-up, the patient had normal TMJ function without clinical symptoms. CBCT examination showed a small recurrence of 3mm. Another 12 months later, CBCT showed a 1-mm increase in the recurrence. Her function was normal, with slight tenderness lateral to the left TMJ. The decision from a multidisciplinary meeting was further annual follow-up. The present case illustrates the importance of initial radiographic examination together with clinical examination in patients with TMJ dysfunction.
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13
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Rana V, Saxena V, Sahai K, Singh G. Epithelioid osteoblastoma of maxilla: A rare and aggressive variant of a benign neoplasm at an uncommon site. J Oral Maxillofac Pathol 2016; 20:332. [PMID: 27601840 PMCID: PMC4989578 DOI: 10.4103/0973-029x.185923] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Osteoblastoma (OB) is an uncommon benign bone-forming tumor accounting for <1% of all bone neoplasms. Unlike conventional OB, its small subset variant “Epithelioid osteoblastoma (EO)” is characterized by its propensity for local invasion and recurrent behavior. This rare variant of an uncommon tumor when occurs in an atypical site can lead to diagnostic problems more so due to ambiguous clinico-radiologic presentation. This was what faced in the present case of 18-year-old female with a swelling in upper jaw. OB is usually more common in males and involves primarily the posterior element of the spine and the sacrum (40–55%). Less frequently, long bones of limbs are involved. Clinical, radiological and histopathological correlation in this case guided us to reach at right diagnosis of EO which helped the patient in getting correct treatment which involves surgical excision over conventional curettage. The purpose behind this case presentation is to improve the awareness about this recurrent tumor variant which has many close differentials including well-differentiated osteoblastic osteosarcoma.
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Affiliation(s)
- Vandana Rana
- Department of Pathology, Command Hospital (SC), AFMC, Pune, Maharashtra, India
| | - Vivek Saxena
- Command Dental Center, AFMC, Pune, Maharashtra, India
| | - Kavita Sahai
- Department of Pathology, AFMC, Pune, Maharashtra, India
| | - Giriraj Singh
- Department of Radio Diagnosis, Command Hospital (SC), AFMC, Pune, Maharashtra, India
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14
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Panigrahi RG, Bhuyan SK, Pati AR, Priyadarshini SR, Sagar S. Non Aggressive Mandibular Osteoblastoma- A Rare Maxillofacial Entity. J Clin Diagn Res 2016; 10:ZD06-8. [PMID: 27190965 DOI: 10.7860/jcdr/2016/13709.7630] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Accepted: 11/17/2015] [Indexed: 11/24/2022]
Abstract
Benign osteoblastoma is a very rare, bone tumour occurring in the facial region. These lesions are most frequently seen in long bones. They are characterised by proliferation of compact or cancellous bone. The lesion is usually asymptomatic until it causes significant facial asymmetry or displacement of the teeth if present in the alveolar region. The clinical appearance of osteoblastoma is very similar to peripheral ossifying fibroma or any fibro-osseous lesion. The tumour is characterised by bone formation along with the presence of numerous osteoblasts. This case report describes the presence of a bony hard mass in the right side of mandible of a 27-year-old female patient with the chief complaint of a painless growth since past 10 years. The growth slowly increased in size displacing the teeth associated with it. The patient also complained of difficulty in speech and mastication.
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Affiliation(s)
- Rajat G Panigrahi
- Associate Professor, Department of Oral Medicine and Radiology, Institute of Dental Science, Siksha O Anusandhan University , Bhubaneswar, Odisha, India
| | - Sanat K Bhuyan
- Professor and Head of Department, Department of Oral Medicine and Radiology, Institute of Dental Science, Siksha O Anusandhan University , Bhubaneswar, Odisha, India
| | - Abhishek R Pati
- Assistant Professor, Department of Oral Medicine and Radiology, Institute of Dental Science, Siksha O Anusandhan University , Bhubaneswar, Odisha, India
| | - Smita R Priyadarshini
- Assistant Professor, Department of Oral Medicine and Radiology, Institute of Dental Science, Siksha O Anusandhan University , Bhubaneswar, Odisha, India
| | - Snigdha Sagar
- Post Graduate, Department of Oral Medicine and Radiology, Institute of Dental Science, Siksha O Anusandhan University , Bhubaneswar, Odisha, India
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15
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Sarkar RR. Osteoid producing primary lesion at morphologic and biologic interface. Clin Cases Miner Bone Metab 2015; 12:52-5. [PMID: 26136797 PMCID: PMC4469228 DOI: 10.11138/ccmbm/2015.12.1.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Fibroosseous gnathic lesions comprise a wide spectrum of diseases. Many of the entities have overlapping features. A pediatric case is encountered with a complex clinicopathologic profile. Although radiographically the lesion appears benign but on histopathological examination it possesses features of osteoid producing aggressive neoplasm. This paper highlights the unusual histologic features existing within the spectrum of fibroosseous lesions and discusses relevant clinicopathologic correlations.
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Affiliation(s)
- Reena Radhikaprasad Sarkar
- Department of Oral and Maxillofacial Pathology, National Dental College Derabassi, Mohali, Punjab, India
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16
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Stewart BD, Reith JD, Knapik JA, Chi AC. Bone- and cartilage-forming tumors and ewing sarcoma: an update with a gnathic emphasis. Head Neck Pathol 2014; 8:454-62. [PMID: 25409851 DOI: 10.1007/s12105-014-0587-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Accepted: 11/03/2014] [Indexed: 12/16/2022]
Abstract
Over the past decade, there have been remarkable advances in bone tumor pathology. Insights into the genetic basis and pathobiology of many tumor types have impacted diagnosis, classification, and treatment. However, because gnathic lesions may comprise only a small proportion of cases overall for many tumors, clinicopathologic features and management considerations specific to this subset may be overlooked. Here we provide a summary of recent developments in the following tumor types: osteosarcoma (OS), chondrosarcoma (CS), osteoid osteoma (OO), osteoblastoma (OB), and Ewing sarcoma (ES). In particular, we will give special consideration to cases arising in the jaws.
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17
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Pontual MLA, Pontual AA, Grempel RG, Campos LRM, Costa ADLL, Godoy GP. Aggressive Multilocular Osteoblastoma in the Mandible: A Rare and Difficult Case to Diagnose. Braz Dent J 2014; 25:451-6. [DOI: 10.1590/0103-6440201300220] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2014] [Accepted: 11/09/2014] [Indexed: 11/22/2022] Open
Abstract
Osteoblastoma is a benign neoplasia and is uncommon in the jaws. In some cases, this lesion presents extremely aggressive local characteristics and is termed aggressive osteoblastoma. Because the clinical, radiographic and histopathologic characteristics are similar to those of a variety of benign and malignant tumors, it poses a diagnostic dilemma. This report presents a case of an aggressive osteoblastoma in the mandible and discusses the differential diagnosis of this lesion. A 13-year-old white male sought the Stomatology Clinic at the State University of Paraíba, Campina Grande, PB, Brazil, complaining of asymptomatic swelling on the left side of his face. Cone-beam computerized tomography showed a multilocular, hypodense bone lesion, located in the body of the left mandible and lower third of the ascending ramus. The initial diagnostic hypothesis was juvenile ossifying fibroma or osteosarcoma. After histopathologic examination, the final diagnosis was aggressive osteoblastoma. Surgical resection with a safety margin was performed. There was no evidence of recurrence after a follow-up period of 4 years.
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18
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Abstract
Primary bone tumors of the jaw are rare. The neoplastic cells in these tumors are the osteoblasts and osteoclasts. The gnathic bone tumors have also been referred to as borderline. The clinicopathologic approach towards these bony lesions have been reviewed.
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Affiliation(s)
- Reena Sarkar
- Professor and Head, Oral and Maxillofacial Pathology, National Dental College Derabassi, Mohali, Punjab, India
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Singh DK, Das KK, Mehrotra A, Srivastava AK, Jaiswal AK, Gupta P, Behari S, Kumar R. Aggressive osteoblastoma involving the craniovertebral junction: A case report and review of literature. J Craniovertebr Junction Spine 2014; 4:69-72. [PMID: 24744565 PMCID: PMC3980559 DOI: 10.4103/0974-8237.128533] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Osteoblastoma (OB) is a rare bony neoplasm constituting around 1% of all primary bone tumors. Although the vertebrae and long bones are the most common sites affected by OB, skull remains a relatively uncommon site of occurrence. Aggressive variant of OB is histologically intermediate between an indolent conventional OB and a malignant osteosarcoma. To the best of our knowledge, aggressive osteoblastoma (AO) affecting the craniovertebral junction has not been previously described in the literature. In this report, we present a 34-year-old gentleman who presented with a mass involving the left side of the neck and oral cavity along with ipsilateral lower cranial nerve paresis. Computed tomography and magnetic resonance imaging scans of the craniovertebral junction revealed a heterogeneously enhancing expansile lesion with areas of destruction involving the clivus, left sided jugular foramen and left side of first two cervical vertebras. Angiography showed distortion of the V3 segment of the left vertebral artery and shift of the ipsilateral internal carotid artery. The tumor was maximally excised through far lateral approach. Histopathologic examination revealed a diagnosis of AO. The patient was referred for radiotherapy for the residual tumor and was doing well at 5 months follow-up.
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Affiliation(s)
- Devesh Kumar Singh
- Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Kuntal Kanti Das
- Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Anant Mehrotra
- Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Arun Kumar Srivastava
- Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Awadhesh Kumar Jaiswal
- Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Pallav Gupta
- Department of Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Sanjay Behari
- Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Raj Kumar
- Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
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An SY, Shin HI, Choi KS, Park JW, Kim YG, Benavides E, Kim JW, An CH. Unusual osteoid osteoma of the mandible: report of case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 116:e134-40. [PMID: 23849381 DOI: 10.1016/j.oooo.2013.04.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2013] [Revised: 04/06/2013] [Accepted: 04/08/2013] [Indexed: 11/20/2022]
Abstract
A 10-year-old boy presented with a swelling on the right side of the jaw. He had undergone excision of the lesion about 10 months ago at a private dental clinic and the swelling began to regrow 4 months after surgery. A panoramic radiograph revealed 4 sclerotic round masses with radiolucent rims surrounded by sclerosis of the right posterior mandible. Computed tomography scan showed 4 round bony masses centered on the buccal cortex and bone marrow space, sclerosis of the adjacent bone and periosteal reaction. He underwent a marginal resection under general anesthesia and the final histopathological report confirmed the diagnosis of osteoid osteoma. Postoperative course was uneventful, and there was no evidence of recurrence at the 5.5-year follow-up. In the review of the literature, 20 osteoid ostemas were found in the jaw and to the best of our knowledge, the present case is the only one showing multifocal nidi.
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Affiliation(s)
- Seo-Young An
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, South Korea
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de Noronha Santos Netto J, Marques AA, da Costa DOP, de Queiroz Chaves Lourenço S. A rare case of cementoblastoma associated with the primary dentition. Oral Maxillofac Surg 2012; 16:399-402. [PMID: 22219047 DOI: 10.1007/s10006-011-0309-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2011] [Accepted: 11/07/2011] [Indexed: 10/14/2022]
Abstract
BACKGROUND Cementoblastoma is a rare odontogenic tumor with few cases reported in the literature involving deciduous teeth. CASE REPORT A painful intraoral swelling in a young girl close to a primary mandibular first molar presented as a well-defined radiopaque mass attached to the tooth root. After enucleation and histopathological analysis the final diagnosis was cementoblastoma. DISCUSSION This case highlights the relevance of cementoblastoma to dentists and maxillofacial surgeons, since this condition may mimic other intra-osseous maxillary lesions and require patient-specific treatment.
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Manjunatha BS, Sunit P, Amit M, Sanjiv S. Osteoblastoma of the jaws: report of a case and review of literature. Clin Pract 2011; 1:e118. [PMID: 24765359 PMCID: PMC3981446 DOI: 10.4081/cp.2011.e118] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2011] [Revised: 10/20/2011] [Accepted: 10/24/2011] [Indexed: 11/22/2022] Open
Abstract
Benign osteoblastoma (OB) is a rare tumor of bone representing less than 1% of all tumors of the maxillofacial region. Vertebral column, sacrum, long bones, and calvarium are more frequent sites of this tumor. Clinically, patients present with pain and swelling. Histologically, contain a well vascularized, osteoblastic connective tissue stroma and occasionally, osteoclasts along with osteoid and varying degrees of calcification, as well as immature bone may also be noted. The main aim of this report is present a case of OB occurring in the mandible and a brief review of English Medical Literature of this tumor. Many bone-producing lesions possess some overlapping clinical, radiographic or histopathological findings similar to osteoblastoma. Understanding and correlating all features helps in correct diagnosis and adequate management of this rare entity. Hence, osteoblastoma has to be differentiated from other bone lesions for correct diagnosis.
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Affiliation(s)
| | - Patel Sunit
- Department of Oral and Maxillofacial Pathology
| | - Mahajan Amit
- Department of Oral and Maxillofacial Surgery, KM Shah Dental College and Hospital, SumandeepVidyapeeth, Piparia, India
| | - Shah Sanjiv
- Department of Oral and Maxillofacial Pathology
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23
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Manjunatha BS, Sunit P, Amit M, Sanjiv S. Osteoblastoma of the jaws: report of a case and review of literature. Clin Pract 2011. [PMID: 24765359 DOI: 10.4081/cp.2011.e118.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Benign osteoblastoma (OB) is a rare tumor of bone representing less than 1% of all tumors of the maxillofacial region. Vertebral column, sacrum, long bones, and calvarium are more frequent sites of this tumor. Clinically, patients present with pain and swelling. Histologically, contain a well vascularized, osteoblastic connective tissue stroma and occasionally, osteoclasts along with osteoid and varying degrees of calcification, as well as immature bone may also be noted. The main aim of this report is present a case of OB occurring in the mandible and a brief review of English Medical Literature of this tumor. Many bone-producing lesions possess some overlapping clinical, radiographic or histopathological findings similar to osteoblastoma. Understanding and correlating all features helps in correct diagnosis and adequate management of this rare entity. Hence, osteoblastoma has to be differentiated from other bone lesions for correct diagnosis.
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Affiliation(s)
| | - Patel Sunit
- Department of Oral and Maxillofacial Pathology
| | - Mahajan Amit
- Department of Oral and Maxillofacial Surgery, KM Shah Dental College and Hospital, SumandeepVidyapeeth, Piparia, India
| | - Shah Sanjiv
- Department of Oral and Maxillofacial Pathology
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24
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Mahajan A, Kumar P, Desai K, Kaul RP. Osteoblastoma in the retromolar region - Report of an unusual case and Review of literature. J Maxillofac Oral Surg 2011; 12:338-40. [PMID: 24431864 DOI: 10.1007/s12663-011-0263-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2011] [Accepted: 07/08/2011] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Benign osteoblastoma is a rare tumor of bone representing less than 1% of all tumors of the maxillofacial region. There is a slight predilection for the mandible. More frequent sites for this tumor are the vertebral column, sacrum, long bones, and calvarium. A small predilection in males exists. The age of occurrence ranges from 5 to 37 years, with an average of 16.5. Clinically, patients have pain and swelling. The tumor contains a well-vascularized, osteoblastic connective tissue stroma. Osteoclasts may also be present. Osteoid with varying degrees of calcification, as well as immature bone, is noted. CASE REPORT Very few cases of osteoblastomas occurring in the jaws have been reported in the literature. This is one such a rare case report of OB occurring in a 45 year old female patient with a swelling in right lower back region since 5 years. SUMMARY AND CONCLUSION Osteoblastoma has to be differentiated from other bone lesions for correct diagnosis. Many bone producing lesions possess some overlapping clinical, radiographic or histopathological findings similar to osteoblastoma. Understanding and correlating all these features is of utmost importance. This helps in correctly diagnosing and helps in adequate management of this rare entity, giving a good prognosis.
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Affiliation(s)
- Amit Mahajan
- Department of Oral and Maxillofacial Surgery, K.M. Shah Dental College & Hospital, Sumandeep Vidyapeeth University, Piparia-391760, Waghodia Road, Vadodara, Gujarat
| | - Prachur Kumar
- Department of Oral and Maxillofacial Surgery, K.M. Shah Dental College & Hospital, Sumandeep Vidyapeeth University, Piparia-391760, Waghodia Road, Vadodara, Gujarat
| | - Kiran Desai
- Department of Oral and Maxillofacial Surgery, K.M. Shah Dental College & Hospital, Sumandeep Vidyapeeth University, Piparia-391760, Waghodia Road, Vadodara, Gujarat
| | - Ruchi Pathak Kaul
- Department of Oral and Maxillofacial Surgery, ITS-CDSR, Muradnagar, Ghaziabad
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Chattopadhyay CP, Chander MG. Peripheral osteoma of the maxillofacial region diagnosis and management: a study of 06 cases. J Maxillofac Oral Surg 2012; 11:425-9. [PMID: 24293935 DOI: 10.1007/s12663-011-0223-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2011] [Accepted: 03/30/2011] [Indexed: 10/18/2022] Open
Abstract
BACKGROUND Osteomas are benign neoplasm often associated with facial asymmetry, pain and surface ulceration. Peripheral osteomas are more common in the cranio-maxillofacial region. It is prevalent at younger age but maximum seen in the sixth decade, with a female to male ratio is 1:2. The aim of this study was to review the clinical presentations and management protocol of such lesions in cranio-maxillofacial region. MATERIALS AND METHODS The study was conducted at Command Military Dental Centre (EC) during May 2004 to May 2007. Six serving soldiers and their families (four males, two females), age group ranging between 13 and 56 years, mean age 34.5 years were recruited in this study. The tumors were excised using extra oral, intra oral and combined approaches; no complications were reported during post op period. RESULTS All the cases were operated under GA through extra oral, intra oral and combined approaches with satisfactory results. HPE report was benign in all our cases with no post operative complications reported during follow up. CONCLUSION Cranio-maxillofacial osteomas are exclusively benign tumors and not very common entities. Proper diagnosis and precision management alleviates symptoms without any post surgical complications. In our series of six cases the tumors were diagnosed and managed as per standard surgical protocol with excellent result.
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Abstract
Osteoblastoma is a rather uncommon tumor, especially when located in the wrist (and hand). Its diagnosis therefore appears to be problematic. We describe a case of osteoblastoma of the scaphoid bone and its management. To our knowledge, this is the fourth case of osteoblatoma of the carpus reported in the literature. Proximal row carpectomy was chosen because of the aggressive nature of the tumor. A tendon transfer was performed in the same session for wrist stabilization. Other authors have opted for a more conservative approach (tumor curettage with bone grafting).
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Affiliation(s)
- Hanane Bahouq
- Department of rheumatology, CHU Ibn Sina, Hospital El Ayachi, Rabat-Sale, Morocco
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27
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Lypka MA, Melrose R, Rizvi M, Urata M, Hammoudeh J. A mandibular mass in a pediatric patient. J Oral Maxillofac Surg 2011; 69:1661-7. [PMID: 21216060 DOI: 10.1016/j.joms.2010.06.183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2010] [Revised: 05/26/2010] [Accepted: 06/23/2010] [Indexed: 10/18/2022]
Affiliation(s)
- Michael A Lypka
- Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA, USA.
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Harrington C, Accurso BT, Kalmar JR, Iwenofu OH, Agrawal A, Allen CM, Leon ME. Aggressive osteoblastoma of the maxilla: a case report and review of the literature. Head Neck Pathol 2010; 5:165-70. [PMID: 21181315 PMCID: PMC3098324 DOI: 10.1007/s12105-010-0234-y] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2010] [Accepted: 12/08/2010] [Indexed: 11/24/2022]
Abstract
Aggressive osteoblastoma is a rare primary bone neoplasm with the potential for local invasion and recurrence. While the vertebrae or long bones are most commonly affected, few well-documented cases have been reported in the jaws. A 25-year-old man presented with a palatal mass of several months' duration. He reported the lesion had undergone gradual enlargement and, while generally asymptomatic, had recently become increasingly painful. An incisional biopsy was interpreted as "osteoblastic neoplasm" most suggestive of osteoblastoma. However, final diagnosis was deferred until the resection specimen could be evaluated. Following partial maxillectomy, histopathologic examination revealed a proliferation of large epithelioid cells with eccentric nuclei and prominent nucleoli associated with broad, irregular deposits of osteoid and trabeculae of bone. The lesional cells exhibited minimal pleomorphism with infrequent, normal-appearing mitotic figures and numerous osteoclast-like giant cells were observed within an associated loose fibrovascular stroma. Transformation of "blue bone" to more organized eosinophilic trabeculae of woven bone was noted at the periphery of the lesion and there was no evidence of invasion. A diagnosis of aggressive osteoblastoma was made. Previous reports of gnathic aggressive osteoblastoma are reviewed and the features that distinguish this process from conventional osteoblastoma or osteoblastoma-like osteosarcoma are presented.
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Affiliation(s)
- Christine Harrington
- Oral and Maxillofacial Pathology, The Ohio State University College of Dentistry, 305 W. 12th Avenue, Columbus, OH 43210 USA
| | - Brent T. Accurso
- Oral and Maxillofacial Pathology, The Ohio State University College of Dentistry, 305 W. 12th Avenue, Columbus, OH 43210 USA
| | - John R. Kalmar
- Division of Oral and Maxillofacial Surgery, Pathology and Anesthesiology, The Ohio State University College of Dentistry, 305 W. 12th Avenue, Columbus, OH 43210 USA
| | - Obiajulu H. Iwenofu
- Divisions of Head & Neck Pathology and Soft Tissue & Bone Pathology, Department of Pathology, The Ohio State University, Columbus, OH USA
| | - Amit Agrawal
- Department of Otolaryngology, Head and Neck Surgery, The Ohio State University, Columbus, OH USA
| | - Carl M. Allen
- Oral and Maxillofacial Pathology, The Ohio State University College of Dentistry, 305 W. 12th Avenue, Columbus, OH 43210 USA ,Department of Pathology, College of Medicine and Public Health, The Ohio State University, Columbus, OH USA
| | - Marino E. Leon
- Anatomic Pathology, Moffitt Cancer Center, Tampa, FL USA ,Department of Oncologic Sciences, University of South Florida College of Medicine, Tampa, FL USA ,Department of Pathology and Cell Biology, University of South Florida College of Medicine, Tampa, FL USA ,Division of Head & Neck Pathology, Department of Pathology, The Ohio State University, Columbus, OH USA
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29
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Bilodeau E, Collins B, Costello B, Potluri A. Case report: a pediatric case of cementoblastoma with histologic and radiographic features of an osteoblastoma and osteosarcoma. Head Neck Pathol 2010; 4:324-8. [PMID: 20737258 PMCID: PMC2996506 DOI: 10.1007/s12105-010-0205-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2010] [Accepted: 08/04/2010] [Indexed: 10/19/2022]
Abstract
One case of an expansile mass involving the roots of a mandibular left first molar in a nine year old male is presented. The lesion has features of a cementoblastoma (CB), osteoblastoma (OB), and osteosarcoma (OS) both radiographically and histologically. Radiographically, a "sunburst" appearance is present. Histologically, the lesional tissue is intimately involved with the root, not the periosteum. The clinical, radiographic, and histopathologic characteristics of CB, OB, and OS are discussed as well as the difficulties associated with distinguishing between these lesions in the gnathic region.
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Affiliation(s)
- Elizabeth Bilodeau
- Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine, 3501 Terrace St, Pittsburgh, PA 15261 USA
| | - Bobby Collins
- Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine, 3501 Terrace St, Pittsburgh, PA 15261 USA
| | - Bernard Costello
- Department of Oral and Maxillofacial Surgery, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA USA
| | - Anitha Potluri
- Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine, 3501 Terrace St, Pittsburgh, PA 15261 USA
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McNamara KK, Kernig ML, Kreuter KS, Kalmar JR, Allen CM. Clinical-pathological conference: case 4. Head Neck Pathol 2010; 4:230-3. [PMID: 20676831 DOI: 10.1007/s12105-010-0195-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2010] [Accepted: 07/10/2010] [Indexed: 10/19/2022]
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Abstract
Lesions specific for the jaws and not occurring in any other bones mostly are related to the teeth or to odontogenic tissues. Moreover, the jaws may harbor nonodontogenic bone lesions not seen in any other part of the skeleton. This paper pays attention to the diseases that are specific for the jaws, odontogenic as well as nonodontogenic. Both neoplastic and nonneoplastic entities will be discussed.
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Rahsepar B, Nikgoo A, Fatemitabar SA. Osteoid Osteoma of Subcondylar Region: Case Report and Review of the Literature. J Oral Maxillofac Surg 2009; 67:888-93. [DOI: 10.1016/j.joms.2008.06.068] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2008] [Revised: 03/16/2008] [Accepted: 06/17/2008] [Indexed: 11/21/2022]
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Kaplan I, Nicolaou Z, Hatuel D, Calderon S. Solitary central osteoma of the jaws: a diagnostic dilemma. ACTA ACUST UNITED AC 2008; 106:e22-9. [PMID: 18602294 DOI: 10.1016/j.tripleo.2008.04.013] [Citation(s) in RCA: 66] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2008] [Revised: 03/31/2008] [Accepted: 04/17/2008] [Indexed: 11/24/2022]
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Badauy C, Carrard V, Rados P, Sant’Ana Filho M. Radiopaque Mass of the Posterior Mandible With Lingual Expansion. J Oral Maxillofac Surg 2007; 65:2498-502. [DOI: 10.1016/j.joms.2007.06.624] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2006] [Revised: 11/30/2006] [Accepted: 06/06/2007] [Indexed: 10/22/2022]
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Affiliation(s)
- G. Petur Nielsen
- Department of Pathology, James Homer Wright Pathology Laboratories, Massachusetts General Hospital, Harvard Medical School, Boston, MA USA
| | - Andrew E. Rosenberg
- Department of Pathology, James Homer Wright Pathology Laboratories, Massachusetts General Hospital, Harvard Medical School, Boston, MA USA
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