Publication year
2007Source
Nederlands Tijdschrift voor Tandheelkunde, 114, 8, (2007), pp. 346-348ISSN
Publication type
Article / Letter to editor

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Organization
Oral and Maxillofacial Surgery
Periodontology and Biomaterials
Pathology
Oral Function and Prosthetic Dentistry
Former Organization
Radboud University Nijmegen Medical Centre
Journal title
Nederlands Tijdschrift voor Tandheelkunde
Volume
vol. 114
Issue
iss. 8
Page start
p. 346
Page end
p. 348
Subject
NCMLS 3: Tissue engineering and pathology; ONCOL 3: Translational research; UMCN 1.2: Molecular diagnosis, prognosis and monitoring; UMCN 4.3: Tissue engineering and reconstructive surgeryAbstract
Following the loss of several molars in the left maxilla, a 73-year-old man asked his general dentist practitioner to restore his chewing efficiency. Initially, reconstruction of the left maxilla with an implant supported fixed partial denture was considered. However, intraorally a soft-tissue swelling was observed extending from the midline of the palate to the left buccal sulcus. A panoramic radiograph showed absence of bone between the oral cavity and the maxillary sinus. At first, after an incision biopsy and histopathologic examination, the condition was diagnosed as nodular fasciitis. However, because of subsequent aggressive growth of the lesion malignancy was suspected. Histopathological examination confirmed the assumption. The lesion appeared to be a sarcoma. The general diagnostic rule is that the aggressive behaviour of a lesion and the absence of a bony delineation on radiographic examination between the oral cavity and the maxillary sinus are signs of malignancy, until evidence to the contrary has been provided.
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- Faculty of Medical Sciences [80280]
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