Table of Contents
Definition / general | Radiology description | Radiology images | Case reports | Treatment | Microscopic (histologic) description | Microscopic (histologic) images | Additional referencesCite this page: Pernick N. Primary intraosseous carcinoma, NOS. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/mandiblemaxillaprimaryintraosseouscarcinoma.html. Accessed November 27th, 2024.
Definition / general
- May arise from epithelial lining of an odontogenic cyst or de novo from intraosseous odontogenic rests
- Mean age is 52 years (range 4 to 76 years); 70% occur in men (Int J Oral Maxillofac Surg 2001;30:349); most tumors (92%) occur in mandible
- Progressive swelling of the jaw, pain and loosening of the teeth
- Cervical nodal metastases are common
- Aggressive behavior (4 year survival is 40%)
Radiology description
- Radiolucent cystic-like pattern of bone destruction but with well defined margins
Case reports
- 66 year old man with enlargement of mandible (Case of Week #73)
- Primary intraosseous verrucous carcinoma developing from a maxillary odontogenic cyst (Tumori 2001;87:444)
- Verrucous carcinoma arising in an odontogenic cyst (Oral Surg Oral Med Oral Pathol 1980;49:151)
Treatment
- Aggressive surgical excision (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:e29)
- Possibly with postoperative radiotherapy
Microscopic (histologic) description
- Usually squamous cell carcinoma, high grade
Microscopic (histologic) images
Additional references