2009
DOI: 10.1186/1752-1947-3-9327
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Imprint cytology of osteosarcoma of the jaw: a case report

Abstract: IntroductionOsteosarcomas are highly malignant bone-forming neoplasms that account for about 20% of all sarcomas. In light of their aggressive behavior, early diagnosis is crucial for determining adequate treatment. Dental professionals may be the first to detect jaw osteosarcomas in their initial stages. The aim of this case report is to draw attention to the possibility of diagnosing this tumor based on clinical, radiographical and cytological characteristics before confirmation by histology.Case presentatio… Show more

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Cited by 14 publications
(9 citation statements)
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“…The estimated incidence of OS is 4-5 per million in the population (Hori et al, 2010). OS is characterized by the proliferation of neoplastic cells directly from bone or osteoid tissue (Cabral et al, 2009). For the 40% of patients that develop disease progression of OS, after first line therapy, further treatment with additional chemotherapy is palliative and toxic (Dean et al, 2005).…”
Section: Introductionmentioning
confidence: 99%
“…The estimated incidence of OS is 4-5 per million in the population (Hori et al, 2010). OS is characterized by the proliferation of neoplastic cells directly from bone or osteoid tissue (Cabral et al, 2009). For the 40% of patients that develop disease progression of OS, after first line therapy, further treatment with additional chemotherapy is palliative and toxic (Dean et al, 2005).…”
Section: Introductionmentioning
confidence: 99%
“…A CT scan of an osteosarcoma often shows formation of irregular endosteal and extracortical bone as well as a destroyed or obliterated cortex. However, CT scan cannot differentiate between osteosarcoma and fibrous dysplasia, a typical sunray spiculations were seen in the soft tissue in this case which were highly suggestive of osteosarcoma (7). A tissue biopsy is the only means of making a definitive diagnosis and such cases presenting clinically of osteosarcoma requires a biopsy as soon as possible as done in our case.…”
Section: Discussionmentioning
confidence: 98%
“…A tissue biopsy is the only means of making a definitive diagnosis and such cases presenting clinically of osteosarcoma requires a biopsy as soon as possible as done in our case. The deep biopsy specimen should be taken from the centre of the lesion (1,7). This will avoid missing the diagnostic portion of the tumor because the superficial specimen will perhaps include the immature part of the lesion (1).…”
Section: Discussionmentioning
confidence: 99%
“…In some cases, there should be widening of the periodontal ligament space also known as Garrington sign [10]. A plain radiograph usually demonstrates a destructive mass associated to irregular, spiculated periosteal reaction [11]. An integrative CT scan confirms irregular mass with periosteal and endosteal reaction even if osteosarcoma and fibrous dysplasia have a similar presentation even if as "sunray spiculations" in soft tissue could indicate osteosarcoma.…”
Section: Discussionmentioning
confidence: 99%