Chondrosarcoma of the Alveolar Process of the Mandible Initially Suspected to Be a Periodontal Lesion
Authors
Marković-Vasiljković, BiljanaJanović, Aleksa
Antić, Svetlana
Dožić, Branko
Bracanović, Miloš
Bracanović, Đurđa
Article (Published version)
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Chondrosarcoma (CS) initially suspected to be a periodontal lesion is atypical and rare. To the best of our knowledge, only six similar cases have been reported so far. A 47-year-old woman presented with a discreet swelling of the alveolar process of the mandible, while adjacent mucosa appeared normal. Upon initial intraoral radiography, a periodontal lesion was suspected by the ordinating dentist. Further radiological evaluations included CBCT, CT, and MRI, which showed a thickening of the supporting bone with ground-glass foci but without visible calcifications. The periodontal space of the affected teeth appeared to be uniformly widened. The destruction of the vestibular and lingual cortex was observed, as well as a discreet periosteal reaction, implying the secondary involvement of these teeth and not the odontogenic nature of the lesion. The lesion was restricted to the alveolar process of the mandible, and the bone marrow was not affected. Upon biopsy, a preliminary histopatholog...y report suggested chondrosarcoma, and the patient underwent surgery. It is important to emphasize the possible malignant nature of atypical lesions in the alveolar bone, especially in cases with the expansion of vestibular and lingual cortical plates. Additionally, postoperative “watch and see” follow-ups may be considered in cases of CS in the jaws.
Keywords:
chondrosarcoma / mandible / periodontal lesion / CBCT / CTSource:
Diagnostics (Basel), 02-2024, 14, 4, 348-Publisher:
- MDPI
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Stomatološki fakultetTY - JOUR AU - Marković-Vasiljković, Biljana AU - Janović, Aleksa AU - Antić, Svetlana AU - Dožić, Branko AU - Bracanović, Miloš AU - Bracanović, Đurđa PY - 2024-02 UR - https://smile.stomf.bg.ac.rs/handle/123456789/3304 AB - Chondrosarcoma (CS) initially suspected to be a periodontal lesion is atypical and rare. To the best of our knowledge, only six similar cases have been reported so far. A 47-year-old woman presented with a discreet swelling of the alveolar process of the mandible, while adjacent mucosa appeared normal. Upon initial intraoral radiography, a periodontal lesion was suspected by the ordinating dentist. Further radiological evaluations included CBCT, CT, and MRI, which showed a thickening of the supporting bone with ground-glass foci but without visible calcifications. The periodontal space of the affected teeth appeared to be uniformly widened. The destruction of the vestibular and lingual cortex was observed, as well as a discreet periosteal reaction, implying the secondary involvement of these teeth and not the odontogenic nature of the lesion. The lesion was restricted to the alveolar process of the mandible, and the bone marrow was not affected. Upon biopsy, a preliminary histopathology report suggested chondrosarcoma, and the patient underwent surgery. It is important to emphasize the possible malignant nature of atypical lesions in the alveolar bone, especially in cases with the expansion of vestibular and lingual cortical plates. Additionally, postoperative “watch and see” follow-ups may be considered in cases of CS in the jaws. PB - MDPI T2 - Diagnostics (Basel) T1 - Chondrosarcoma of the Alveolar Process of the Mandible Initially Suspected to Be a Periodontal Lesion VL - 14 IS - 4 SP - 348 DO - 10.3390/diagnostics14040348 ER -
@article{ author = "Marković-Vasiljković, Biljana and Janović, Aleksa and Antić, Svetlana and Dožić, Branko and Bracanović, Miloš and Bracanović, Đurđa", year = "2024-02", abstract = "Chondrosarcoma (CS) initially suspected to be a periodontal lesion is atypical and rare. To the best of our knowledge, only six similar cases have been reported so far. A 47-year-old woman presented with a discreet swelling of the alveolar process of the mandible, while adjacent mucosa appeared normal. Upon initial intraoral radiography, a periodontal lesion was suspected by the ordinating dentist. Further radiological evaluations included CBCT, CT, and MRI, which showed a thickening of the supporting bone with ground-glass foci but without visible calcifications. The periodontal space of the affected teeth appeared to be uniformly widened. The destruction of the vestibular and lingual cortex was observed, as well as a discreet periosteal reaction, implying the secondary involvement of these teeth and not the odontogenic nature of the lesion. The lesion was restricted to the alveolar process of the mandible, and the bone marrow was not affected. Upon biopsy, a preliminary histopathology report suggested chondrosarcoma, and the patient underwent surgery. It is important to emphasize the possible malignant nature of atypical lesions in the alveolar bone, especially in cases with the expansion of vestibular and lingual cortical plates. Additionally, postoperative “watch and see” follow-ups may be considered in cases of CS in the jaws.", publisher = "MDPI", journal = "Diagnostics (Basel)", title = "Chondrosarcoma of the Alveolar Process of the Mandible Initially Suspected to Be a Periodontal Lesion", volume = "14", number = "4", pages = "348", doi = "10.3390/diagnostics14040348" }
Marković-Vasiljković, B., Janović, A., Antić, S., Dožić, B., Bracanović, M.,& Bracanović, Đ.. (2024-02). Chondrosarcoma of the Alveolar Process of the Mandible Initially Suspected to Be a Periodontal Lesion. in Diagnostics (Basel) MDPI., 14(4), 348. https://doi.org/10.3390/diagnostics14040348
Marković-Vasiljković B, Janović A, Antić S, Dožić B, Bracanović M, Bracanović Đ. Chondrosarcoma of the Alveolar Process of the Mandible Initially Suspected to Be a Periodontal Lesion. in Diagnostics (Basel). 2024;14(4):348. doi:10.3390/diagnostics14040348 .
Marković-Vasiljković, Biljana, Janović, Aleksa, Antić, Svetlana, Dožić, Branko, Bracanović, Miloš, Bracanović, Đurđa, "Chondrosarcoma of the Alveolar Process of the Mandible Initially Suspected to Be a Periodontal Lesion" in Diagnostics (Basel), 14, no. 4 (2024-02):348, https://doi.org/10.3390/diagnostics14040348 . .