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Well-differentiated intra-osseous osteosarcoma in the mandible of a six-year-old child

Published online by Cambridge University Press:  29 June 2007

P. L. James ,
M. B. O'regan  and
P. M. Speight
P. L. James*
Affiliation:
Consultant, Oral & Maxillo-Facial Surgery, London Hospital.
M. B. O'regan
Affiliation:
Senior Registrar, Oral & Maxillo-Facial Surgery, London Hospital.
P. M. Speight
Affiliation:
Senior Lecturer in Oral Pathology, London Hospital Medical College.
*
P. L. James, F.D.S.R.C.S., Department of Oral and Maxillo-Facial Surgery, The London Hospital, Whitechapel, London E1 1BB.
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Abstract

The case of an osteosarcoma arising in the mandible of a six-year-old child is presented. It was originally misdiagnosed as a desmoplastic fibroma, and after initial curettage continued to grow for twelve years. The differential diagnosis is presented and details of the surgical access and difficulties encountered in the surgical removal of this very large tumour are described.

The relationship between pre-existing disease and osteosarcoma of the mandible is discussed, and the difficulties experienced in distinguishing between the fibro-osseous lesions and osteosarcoma of the mandible are highlighted.

The case is presented as a well-differentiated, intra-osseous osteosarcoma with subsequent transformation into a high-grade, conventional osteosarcoma.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 4 , April 1990 , pp. 335 - 340
Copyright
Copyright © JLO (1984) Limited 1990

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