Invasive Oral Squamous Cell Carcinoma Mimicking a Dentoalveolar Abscess: Report of a Case in a 14-Year-Old Patient.

IF 3.5 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of endodontics Pub Date : 2024-05-28 DOI:10.1016/j.joen.2024.05.011
Mark D Stevenson, Craig A Dunlap, Michelle Shin, Shreyas Oza, Gordon S Lai
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Abstract

Introduction: A diagnosis of oral squamous cell carcinoma in adolescent patients is extremely rare. When an oral squamous cell carcinoma lesion arises near the teeth and/or periodontium, it can be easily misdiagnosed as an inflammatory condition of endodontic or periodontal origin.

Methods: This is a case report of an otherwise healthy 14-year-old patient who was referred for endodontic evaluation and treatment of a soft-tissue swelling in the anterior maxilla.

Results: The unexpected definitive diagnosis of invasive oral squamous cell carcinoma underscores the importance of proper diagnostic testing.

Conclusions: Accurate interpretation of pulp testing results, periapical and cone beam computed tomography imaging, timely biopsy, and prompt definitive treatment are critical when a lesion of nonodontogenic origin is suspected.

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模仿牙槽脓肿的浸润性口腔鳞状细胞癌:一名 14 岁患者的病例报告。
简介:在青少年患者中诊断出口腔鳞状细胞癌(OSCC)极为罕见。当 OSCC 病变发生在牙齿和/或牙周附近时,很容易被误诊为牙髓或牙周炎症:本病例报告的是一名原本健康的 14 岁患者,因上颌前部软组织肿胀而转诊进行牙髓评估和治疗:结果:意外确诊为侵袭性OSCC,强调了正确诊断测试的重要性:结论:当怀疑是非牙源性病变时,准确解释牙髓检测结果、进行根尖周和锥形束计算机断层扫描(CBCT)成像、及时进行活检以及迅速进行明确治疗至关重要。
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来源期刊
Journal of endodontics
Journal of endodontics 医学-牙科与口腔外科
CiteScore
8.80
自引率
9.50%
发文量
224
审稿时长
42 days
期刊介绍: The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.
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