Mandibular small cell osteosarcoma: a case report and review of literature

Abstract Background Small cell osteosarcoma is an extremely rare histopathological variant of conventional osteosarcoma. Due to nonspecific symptoms, most osteosarcomas of the jaws are misdiagnosed as periapical abscesses and mistreated by teeth extraction and drainage. Case presentation We report,...

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Main Authors: Hatem Wael Amer, Hana’a Hezam Algadi, Shyma’a Ahmed Hamza
Format: Article
Language:English
Published: SpringerOpen 2023-09-01
Series:Journal of the Egyptian National Cancer Institute
Subjects:
Online Access:https://doi.org/10.1186/s43046-023-00191-2
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author Hatem Wael Amer
Hana’a Hezam Algadi
Shyma’a Ahmed Hamza
author_facet Hatem Wael Amer
Hana’a Hezam Algadi
Shyma’a Ahmed Hamza
author_sort Hatem Wael Amer
collection DOAJ
description Abstract Background Small cell osteosarcoma is an extremely rare histopathological variant of conventional osteosarcoma. Due to nonspecific symptoms, most osteosarcomas of the jaws are misdiagnosed as periapical abscesses and mistreated by teeth extraction and drainage. Case presentation We report, to our knowledge, the seventh case of small cell osteosarcoma in gnathic sites affecting the mandible of an old female with history of a large painful swelling related to the right mandibular molar area for 2 months. Cone-beam computed tomography scan showed an osteolytic lesion related to the lower molar area with involvement of the inferior alveolar nerve. An incisional biopsy was taken, and after histopathological examination and immunohistochemical staining, a diagnosis of small cell osteosarcoma was reached. Hemi-mandibulectomy was performed by a maxillofacial surgeon. No clinical evidence for recurrence was noted until manuscript writing. Conclusion Accurate diagnosis is very important, and general practitioners should be aware of this entity considering that small cell osteosarcoma has a poor prognosis when compared to conventional osteosarcoma.
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spelling doaj.art-b7cae9901d634ccd8fb209e2e090e1bf2023-11-26T14:00:03ZengSpringerOpenJournal of the Egyptian National Cancer Institute2589-04092023-09-013511610.1186/s43046-023-00191-2Mandibular small cell osteosarcoma: a case report and review of literatureHatem Wael Amer0Hana’a Hezam Algadi1Shyma’a Ahmed Hamza2Oral and Maxillofacial Pathology Department, Faculty of Dentistry, Cairo UniversityOral and Maxillofacial Pathology Department, Faculty of Dentistry, Cairo UniversityOral and Maxillofacial Pathology Department, Faculty of Dentistry, Cairo UniversityAbstract Background Small cell osteosarcoma is an extremely rare histopathological variant of conventional osteosarcoma. Due to nonspecific symptoms, most osteosarcomas of the jaws are misdiagnosed as periapical abscesses and mistreated by teeth extraction and drainage. Case presentation We report, to our knowledge, the seventh case of small cell osteosarcoma in gnathic sites affecting the mandible of an old female with history of a large painful swelling related to the right mandibular molar area for 2 months. Cone-beam computed tomography scan showed an osteolytic lesion related to the lower molar area with involvement of the inferior alveolar nerve. An incisional biopsy was taken, and after histopathological examination and immunohistochemical staining, a diagnosis of small cell osteosarcoma was reached. Hemi-mandibulectomy was performed by a maxillofacial surgeon. No clinical evidence for recurrence was noted until manuscript writing. Conclusion Accurate diagnosis is very important, and general practitioners should be aware of this entity considering that small cell osteosarcoma has a poor prognosis when compared to conventional osteosarcoma.https://doi.org/10.1186/s43046-023-00191-2Small cell osteosarcomaOsteosarcomaBone tumorsMandibular osteosarcomaJaws neoplasmsCase report
spellingShingle Hatem Wael Amer
Hana’a Hezam Algadi
Shyma’a Ahmed Hamza
Mandibular small cell osteosarcoma: a case report and review of literature
Journal of the Egyptian National Cancer Institute
Small cell osteosarcoma
Osteosarcoma
Bone tumors
Mandibular osteosarcoma
Jaws neoplasms
Case report
title Mandibular small cell osteosarcoma: a case report and review of literature
title_full Mandibular small cell osteosarcoma: a case report and review of literature
title_fullStr Mandibular small cell osteosarcoma: a case report and review of literature
title_full_unstemmed Mandibular small cell osteosarcoma: a case report and review of literature
title_short Mandibular small cell osteosarcoma: a case report and review of literature
title_sort mandibular small cell osteosarcoma a case report and review of literature
topic Small cell osteosarcoma
Osteosarcoma
Bone tumors
Mandibular osteosarcoma
Jaws neoplasms
Case report
url https://doi.org/10.1186/s43046-023-00191-2
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AT hanaahezamalgadi mandibularsmallcellosteosarcomaacasereportandreviewofliterature
AT shymaaahmedhamza mandibularsmallcellosteosarcomaacasereportandreviewofliterature