Chondrosarcoma of the mandible presenting as periodontal lesions: report of 2 cases.
A review of the literature and the addition of 2 cases in the mandibular symphyseal region serve to illustrate the protean presentation of chondrosarcomas. These 2 cases presented as periodontal lesions with associated bone loss. A high index of suspicion is required to make an early diagnosis. The importance of submitting biopsy specimens for histology is stressed, and it is recommended that definitive treatment be carried out as rapidly as possible after diagnosis is known. The surgical procedures undertaken were conservative, and patients have remained disease-free after 3.5 years and 3 years respectively. For small lesions, early segmental resection is not necessary in this region. Only recurrence should be treated by symphyseal resection with its increased morbidity. Close follow-up is mandatory.
Department of Oral and Maxillofacial Surgery, University of Hong Kong.
I W
IW
Ormiston
E
E
Piette
H
H
Tideman
P C
PC
Wu
D000328:Adult; D002813:Chondrosarcoma / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005882:Gingival Diseases / Q000175:diagnosis; D005885:Gingival Hyperplasia / Q000175:diagnosis; D005891:Gingivitis / Q000175:diagnosis; D017789:Granuloma, Pyogenic / Q000175:diagnosis; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D010510:Periodontal Diseases / Q000175:diagnosis*