原发性骨内状细胞癌的错误诊断 - 一个案例报告
Jyoti Biradar1, Vishnuchandra Menon2, Jaydeep Nilkanthrao Pol2
1Department of Oral and Maxillofacial Surgery, BVDU Dental College and Hospital, Sangli, Maharashtra, India.
Bioinformation
|August 18, 2025
概括
主要骨内状细胞癌是一种罕见的瘤,通常会影响下. 这一案例突出了对恶性瘤的延迟诊断,最初被误认为是周围感染.
科学领域:
- 口腔和牙面部外科手术
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 牙产生的上皮残留物是原发性骨内状细胞癌 (PIOSCC) 的起源,这是一种不常见的恶性中瘤.
- 虽然PIOSCC可以影响任何一个下巴,但它主要发生在下.
- 错误的诊断,如在本案中所见,可以推迟这种罕见恶性瘤的适当治疗.
研究的目的:
- 报告一个主要骨内状细胞下癌的病例.
- 强调在对持久性下病变的差异诊断中考虑罕见恶性瘤的重要性.
- 突出与PIOSCC相关的诊断挑战和成像发现.
主要方法:
- 一个40岁的男性患者的病例报告显示下巴胀.
- 临床检查,高级成像 (包括全景放射) 和下角活检的细针吸入细胞学 (FNAC).
- 对临床表现,诊断程序和组织病理学发现的审查.
主要成果:
- 患者出现了严重的左下胀,最初被误诊为周围感染.
- 先进的成像揭示了左下大腿骨的广泛侵蚀.
- 下角活检的FNAC表明了许多巨细胞的急性性炎症,需要进一步调查.
结论:
- 初级骨内状细胞癌可以潜伏地呈现,并被误认为更常见的炎症状况.
- 通过先进的成像和适当的活检进行及时和准确的诊断对于管理PIOSCC至关重要.
- 这一案例强调了在诊断下巴瘤时需要保持警,即使最初的症状表明感染.
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