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Introduction: Osteosarcoma is common primary malignancy of bone that arises from the mesenchymal cells. It is commonly seen in younger patients having average age of 15 years. Generally, it involves long bones with fastest growth rate. The exact etiology for this tumor remains to be unknown but in some cases it runs in families. Osteosarcoma involving the jaw bones is relatively less frequently seen. Generally, osteosarcomas have diverse radiological and histopathological appearances. Case Report: A 31-year-old male presented with a small asymptomatic gingival growth in the lower right posterior region for a period of 20 days. The lesion extended both on the buccal and lingual aspect of 46 and 47 regions. Conclusion: The subtle and asymptomatic clinical and radiological features of this type of lesion as seen in the present case may delay early diagnosis and poor treatment outcome. The purpose of this study was to report an osteosarcoma involving the lower jaw which presented as a soft tissue mass, mimicking an inflammatory gingival lesion.

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