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Malignant tumours of the jaws
1Department of Tissue Pathology and Diagnostic Oncology, Institute for Clinical Pathology and Medical Research, University of Sydney, Westmead Hospital, Sydney, NSW, Australia. hedleyc@icpmr.wsahs.nsw.gov.au
Summary
Malignant bone tumors, including rare odontogenic types, can occur in the jaws. While non-odontogenic tumors are more common, the jaws are unusual sites for them, with osteosarcoma being a frequent primary jaw tumor.
Area of Science:
- Oncology
- Oral and Maxillofacial Surgery
- Pathology
Background:
- Malignant primary and secondary bone tumors can manifest in the jawbones.
- Odontogenic carcinomas and sarcomas are rare neoplasms specific to the jaw.
- Non-odontogenic tumors, though more frequent overall, rarely occur in the maxilla and mandible.
Purpose of the Study:
- To review the occurrence and types of malignant bone tumors within the jaws.
- To differentiate between odontogenic and non-odontogenic tumors in this anatomical region.
- To highlight the relative frequency of primary versus secondary bone tumors in the jaws.
Main Methods:
- Literature review of malignant bone tumors in the jaw.
- Classification of tumors based on origin (odontogenic vs. non-odontogenic).
- Analysis of tumor frequency and location within the maxilla and mandible.
Main Results:
- The jaws harbor nearly all variants of malignant primary and secondary bone tumors.
- Odontogenic tumors are peculiar and uncommon to the jawbones.
- Osteosarcoma, Burkitt's lymphoma, and multiple myeloma are the most common primary jaw tumors.
- Metastatic tumors to the jaws are rare compared to other skeletal sites.
Conclusions:
- The jaws are a site for diverse malignant bone tumors, with specific odontogenic types being rare.
- Primary bone tumors like osteosarcoma are more prevalent in the jaws than metastatic disease.
- Understanding tumor patterns in the jaws is crucial for diagnosis and treatment.

