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KMID : 0355620070330030263
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2007 Volume.33 No. 3 p.263 ~ p.267
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PRIMARY INTRAOSSEOUS CARCINOMA ON MANDIBLE : A CASE REPORT
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Kim Hak-Ryeol
Ryu Dong-Mok
Oh Jung-Hwan
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Abstract
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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).
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KEYWORD
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Primary intraosseous carcinoma, Mandible, Odontogenic carcinoma
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