Case Report

Parosteal osteosarcoma: a diagnostic dilemma on non-healing following tooth extractions: a case report

Rahma Y. Damanhuri , Prihartiningsih Prihartiningsih, Poerwati S. Rahajoe

Rahma Y. Damanhuri
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia. Email: rahma.yulinda.d@gmail.com

Prihartiningsih Prihartiningsih
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia

Poerwati S. Rahajoe
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
Online First: April 01, 2018 | Cite this Article
Damanhuri, R., Prihartiningsih, P., Rahajoe, P. 2018. Parosteal osteosarcoma: a diagnostic dilemma on non-healing following tooth extractions: a case report. Journal of Dentomaxillofacial Science 3(1): 50-53. DOI:10.15562/jdmfs.v3i1.698


Objective: This paper reports a case of mandibular ramus parosteal osteosarcoma, discussing diagnostic problems and reviewing treatment variations.

Methods: A 37 year old male patient was referred by a private hospital with a history of abscesses treatment and removal of his right lower molar 1.5 years ago. The wound in his tooth socket was not healed. Swelling with abscesses recurred and was diagnosed as osteomyelitis. The Orthopantomogram (OPG) result showed a description of osteomyelitis, and the Multi Slice Computed Tomography (MSCT) 3D confirmed the suspected osteosarcoma. Histopathologic results indicated parosteal osteosarcoma. 

Result: Hemimandibulectomy and chemotherapy were performed with good results.

Conclusion: This parosteal osteosarcoma was difficult to diagnosis quickly because the initial image resembled osteomyelitis but it was low grade and rare; therefore, meticulous and accurate diagnosis was deemed necessary. Chemotherapy-combined surgery was thereby performed for treating this parosteal osteosarcoma.

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