Osteosarcoma of Maxilla – A Rare Case Report
N. Mahesh *
Department of Oral Medicine and Radiology, Lenora Institute of Dental Sciences, Rajahmundry, India
A. Jacob Prakash
Department of Oral and Maxillofacial Pathology, Lenora Institute of Dental Sciences, Rajahmundry, India
P. Naveen
Department of Oral and Maxillofacial Surgery, Lenora Institute of Dental Sciences, Rajahmundry, India
M. Venugopal Reddy
Department of Prosthodontics, GSL Dental College, Rajanagaram, India
*Author to whom correspondence should be addressed.
Abstract
Osteosarcoma is a malignant neoplasm of mesenchymal cells which produces defective osteoid or immature bone. Osteosarcoma of the jaw is very rare and represents only 6-8% of all osteosarcomas in the body. It exhibits diverse clinical, radiological and histopathological manifestations resulting in misdiagnosis and diagnostic delay. This case reports emphasizes the veiled behavior of osteosarcoma of maxilla, initially presented as a periapical lesion which later transformed in to an aggressive neoplasm after local curettage and resection followed, by recurrence of the lesion even after surgery, creating a challenge for its diagnosis and management.
Keywords: Jaw, osteosarcoma, pain, immunohistochemistry