J Korean Assoc Oral Maxillofac Surg.  2007 Jun;33(3):263-267.

Primary intraosseous carcinoma on mandible: A case report

Affiliations
  • 1Department of Oral & Maxillofacial Surgery, Dental College, Kyung-Hee University, Korea. khr102den@gmail.com

Abstract

Primary intraosseous carcinoma (PIOC) is a rare odontogenic carcinoma defined as a squamous cell carcinoma arising within a jaw having no initial connection with the oral mucosa, and probably developing from residues of the odontogenic epithelium. PIOC appears more common in male than female, especially at posterior portion of the mandible. Radiographic features of PIOC show irregular patterns of bone destruction with ill defined margins. It could be sometimes misdiagnosed as the cyst or benign tumor because it shows well defined margins. If it couldn't be done appropriate treatment initially, PIOC shows extremely aggressive involvement, extensive local destruction and spreads to the overlying soft tissue. Therefore accurate diagnosis in early state is necessary. The diagnosis criteria proposed for PIOC are : (1) absence of ulcer formation, except when caused by other factors, (2) histologic evidence of squamous cell carcinoma without a cystic component or other odontogenic tumor cell, and (3) absence of another primary tumor on chest radiograph obtained at the time of diagnosis and during a follow-up period of more than 6 month(Suei et al., 1994).

Keyword

Primary intraosseous carcinoma; Mandible; Odontogenic carcinoma

MeSH Terms

Carcinoma, Squamous Cell
Diagnosis
Epithelium
Female
Follow-Up Studies
Humans
Jaw
Male
Mandible*
Mouth Mucosa
Odontogenic Tumors
Radiography, Thoracic
Ulcer
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