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Mandible-Maxilla Osteosarcoma
Kristine M. Mosier, DMD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Osteogenic sarcoma
              • Definitions

                • Malignant tumor arising from bone with ability of neoplastic cells to produce osteoid

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Mosier KM: Magnetic resonance imaging of the maxilla and mandible: signal characteristics and features in the differential diagnosis of common lesions. Top Magn Reson Imaging. 24(1):23-37, 2015
                                              2. Wang S et al: Osteosarcoma of the jaws: demographic and CT imaging features. Dentomaxillofac Radiol. 41(1):37-42, 2012
                                              3. Lee RJ et al: Characteristics and prognostic factors of osteosarcoma of the jaws: a retrospective cohort study. JAMA Otolaryngol Head Neck Surg. 141(5):470-7, 2015
                                              4. Mosier KM: Lesions of the Jaw. Semin Ultrasound CT MR. 36(5):444-50, 2015
                                              5. Behere R et al: Synchronous osteosarcoma of mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 107(5):e45-9, 2009
                                              6. Laskar S et al: Osteosarcoma of the head and neck region: lessons learned from a single-institution experience of 50 patients. Head Neck. 30(8):1020-6, 2008
                                              7. Fernandes R et al: Osteogenic sarcoma of the jaw: a 10-year experience. J Oral Maxillofac Surg. 65(7):1286-91, 2007
                                              8. Kanaya H et al: Ewing's sarcoma/primitive neuroectodermal tumour of the mandible: report of a rare case and review of the literature. J Otolaryngol. 36(3):E15-8, 2007
                                              9. Granados-Garcia M et al: Free osseous and soft tissue surgical margins as prognostic factors in mandibular osteosarcoma. Oral Oncol. 42(2):172-6, 2006
                                              10. Nakayama E et al: The clinical and diagnostic imaging findings of osteosarcoma of the jaw. Dentomaxillofac Radiol. 34(3):182-8, 2005
                                              11. Nakayama E et al: The association between the computed tomography findings, histologic features, and outcome of osteosarcoma of the jaw. J Oral Maxillofac Surg. 63(3):311-8, 2005
                                              12. Takahashi T et al: Osteoblastic osteosarcoma of the mandible: findings on Tc-99m HMDP bone and Ga-67 citrate scintigraphy. Clin Nucl Med. 30(9):608-9, 2005
                                              13. Yoon JH et al: Periosteal osteosarcoma of the mandible. J Oral Maxillofac Surg. 63(5):699-703, 2005
                                              14. Canadian Society of Otolaryngology-Head and Neck Surgery Oncology Study Group: Osteogenic sarcoma of the mandible and maxilla: a Canadian review (1980-2000). J Otolaryngol. 33(3):139-44, 2004
                                              15. Junior AT et al: Clinicopathological and immunohistochemical analysis of twenty-five head and neck osteosarcomas. Oral Oncol. 39(5):521-30, 2003
                                              16. Quesada JL et al: Ewings' sarcoma of the mandible. J Laryngol Otol. 117(9):736-8, 2003
                                              17. Yamaguchi S et al: Sarcomas of the oral and maxillofacial region: a review of 32 cases in 25 years. Clin Oral Investig. 2003
                                              18. Patel SG et al: Improved outcomes in patients with osteogenic sarcoma of the head and neck. Cancer. 95(7):1495-503, 2002
                                              19. Gadwal SR et al: Primary osteosarcoma of the head and neck in pediatric patients: a clinicopathologic study of 22 cases with a review of the literature. Cancer. 91(3):598-605, 2001
                                              20. Gorospe L et al: Ewing's sarcoma of the mandible: radiologic features with emphasis on magnetic resonance appearance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 91(6):728-34, 2001
                                              21. Vigneswaran N et al: Aggressive osteoblastoma of the mandible closely simulating calcifying epithelial odontogenic tumor. Report of two cases with unusual histopathologic findings. Pathol Res Pract. 197(8):569-76, 2001
                                              22. Gorsky M et al: Craniofacial osseous and chondromatous sarcomas in British Columbia--a review of 34 cases. Oral Oncol. 36(1):27-31, 2000
                                              23. Chen YB et al: Long-term survival of patients with mandibular osteosarcoma. J Formos Med Assoc. 98(11):773-7, 1999
                                              24. Givol N et al: Radiological features of osteogenic sarcoma of the jaws. A comparative study of different radiographic modalities. Dentomaxillofac Radiol. 27(6):313-20, 1998
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Synonyms

                                                            • Osteogenic sarcoma
                                                          • Definitions

                                                            • Malignant tumor arising from bone with ability of neoplastic cells to produce osteoid

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Mosier KM: Magnetic resonance imaging of the maxilla and mandible: signal characteristics and features in the differential diagnosis of common lesions. Top Magn Reson Imaging. 24(1):23-37, 2015
                                                                                          2. Wang S et al: Osteosarcoma of the jaws: demographic and CT imaging features. Dentomaxillofac Radiol. 41(1):37-42, 2012
                                                                                          3. Lee RJ et al: Characteristics and prognostic factors of osteosarcoma of the jaws: a retrospective cohort study. JAMA Otolaryngol Head Neck Surg. 141(5):470-7, 2015
                                                                                          4. Mosier KM: Lesions of the Jaw. Semin Ultrasound CT MR. 36(5):444-50, 2015
                                                                                          5. Behere R et al: Synchronous osteosarcoma of mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 107(5):e45-9, 2009
                                                                                          6. Laskar S et al: Osteosarcoma of the head and neck region: lessons learned from a single-institution experience of 50 patients. Head Neck. 30(8):1020-6, 2008
                                                                                          7. Fernandes R et al: Osteogenic sarcoma of the jaw: a 10-year experience. J Oral Maxillofac Surg. 65(7):1286-91, 2007
                                                                                          8. Kanaya H et al: Ewing's sarcoma/primitive neuroectodermal tumour of the mandible: report of a rare case and review of the literature. J Otolaryngol. 36(3):E15-8, 2007
                                                                                          9. Granados-Garcia M et al: Free osseous and soft tissue surgical margins as prognostic factors in mandibular osteosarcoma. Oral Oncol. 42(2):172-6, 2006
                                                                                          10. Nakayama E et al: The clinical and diagnostic imaging findings of osteosarcoma of the jaw. Dentomaxillofac Radiol. 34(3):182-8, 2005
                                                                                          11. Nakayama E et al: The association between the computed tomography findings, histologic features, and outcome of osteosarcoma of the jaw. J Oral Maxillofac Surg. 63(3):311-8, 2005
                                                                                          12. Takahashi T et al: Osteoblastic osteosarcoma of the mandible: findings on Tc-99m HMDP bone and Ga-67 citrate scintigraphy. Clin Nucl Med. 30(9):608-9, 2005
                                                                                          13. Yoon JH et al: Periosteal osteosarcoma of the mandible. J Oral Maxillofac Surg. 63(5):699-703, 2005
                                                                                          14. Canadian Society of Otolaryngology-Head and Neck Surgery Oncology Study Group: Osteogenic sarcoma of the mandible and maxilla: a Canadian review (1980-2000). J Otolaryngol. 33(3):139-44, 2004
                                                                                          15. Junior AT et al: Clinicopathological and immunohistochemical analysis of twenty-five head and neck osteosarcomas. Oral Oncol. 39(5):521-30, 2003
                                                                                          16. Quesada JL et al: Ewings' sarcoma of the mandible. J Laryngol Otol. 117(9):736-8, 2003
                                                                                          17. Yamaguchi S et al: Sarcomas of the oral and maxillofacial region: a review of 32 cases in 25 years. Clin Oral Investig. 2003
                                                                                          18. Patel SG et al: Improved outcomes in patients with osteogenic sarcoma of the head and neck. Cancer. 95(7):1495-503, 2002
                                                                                          19. Gadwal SR et al: Primary osteosarcoma of the head and neck in pediatric patients: a clinicopathologic study of 22 cases with a review of the literature. Cancer. 91(3):598-605, 2001
                                                                                          20. Gorospe L et al: Ewing's sarcoma of the mandible: radiologic features with emphasis on magnetic resonance appearance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 91(6):728-34, 2001
                                                                                          21. Vigneswaran N et al: Aggressive osteoblastoma of the mandible closely simulating calcifying epithelial odontogenic tumor. Report of two cases with unusual histopathologic findings. Pathol Res Pract. 197(8):569-76, 2001
                                                                                          22. Gorsky M et al: Craniofacial osseous and chondromatous sarcomas in British Columbia--a review of 34 cases. Oral Oncol. 36(1):27-31, 2000
                                                                                          23. Chen YB et al: Long-term survival of patients with mandibular osteosarcoma. J Formos Med Assoc. 98(11):773-7, 1999
                                                                                          24. Givol N et al: Radiological features of osteogenic sarcoma of the jaws. A comparative study of different radiographic modalities. Dentomaxillofac Radiol. 27(6):313-20, 1998