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Primary Intraosseous Carcinoma of Mandible: A Case Report

下顎骨內原發性上皮癌:-病例報告

摘要


骨內原發性上皮癌為一罕見且僅發生於顎骨之惡性病症。根據文獻回顧,大部分乃齒源性囊腫之惡性轉變,而原發病例則較為少見。發生時的早期症狀為疼痛及腫脹,通常表現並不明顯且無特異性。因此常造成診斷及治療上的延遲。部分病例亦出現局部淋巴結或遠處之轉移而影響預後。一名五十歲男性因下顎區域持續疼痛腫脹至本院求診,經診斷為骨內原發性上皮癌,在此本文提出其病例報告與相關文獻之討論。

並列摘要


A primary intraosseous carcinoma (PIOC) arising de novo in the mandible is presented. A 50-year-old patient came for help with persistent pain and swelling over left mandibular area for months. After systemic evaluation, ablation and reconstruction surgery was performed. The final diagnosis of PIOC was made. This is an uncommon lesion and is seen essentially in the jawbones. While the majority of the reported cases of PIOC arise from the odontogenic cysts, those arising de novo are infrequently illustrated. The early lesions are either asymptomatic or painful selling. Thus delay of diagnosis or treatment is quite often. Like other malignancies, metastasis to regional lymph nodes or distant organ is observed in advanced PIOC.

延伸閱讀


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