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KMID : 1024020230530030247
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Imaging Science in Dentistry
2023 Volume.53 No. 3 p.247 ~ p.256
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Importance of 3-dimensional imaging in the early diagnosis of chondroblastic osteosarcoma
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Laura Althea Cuschieri
Rebecca Schembri-Higgans
Nicholas Bezzina
Alexandra Betts
Arthur Rodriguez Gonzalez Cortes
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Abstract
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The aim of this report is to present a case of chondroblastic osteosarcoma located in the right maxillary premolar region of a 17-year-old female patient. The initial clinical presentation and 2-dimensional (2D) radiographic methods proved inadequate for a definitive diagnosis. However, a cone-beam computed tomography scan revealed a hyperdense, heterogeneous lesion in the right maxillary premolar region, exhibiting a characteristic “sun-ray” appearance. To assess soft tissue involvement, a medical computed tomography scan was subsequently conducted. A positron emission tomography scan detected no metastasis or indications of secondary tumors. T1- and T2-weighted magnetic resonance imaging showed signal heterogeneity within the lesion, including areas of low signal intensity at the periphery. A histological examination conducted after an incisional biopsy confirmed the diagnosis of high-grade chondroblastic osteosarcoma. The patient was then referred to an oncology department for chemotherapy before surgery. In conclusion, these findings suggest that early diagnosis using 3-dimensional imaging can detect chondroblastic osteosarcoma in its early stages, such as before metastasis occurs, thereby improving the patient's prognosis.
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KEYWORD
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Osteosarcoma, Cone-Beam Computed Tomography, Diagnostic Imaging, Radiography
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