Abstract

The report describes a case of mandibular osteosarcoma in a 25-year-old black male patient complaining of increase of volume in mandible with evolution of 4 months. The anamnesis stated a previous history of mucoepidermoid carcinoma in the left retroauricular region treated by parotidectomy 18 years ago. Physical examination revealed the swelling of the left body of the mandible with face asymmetry and an expansive increase of volume in the buccal region of the mandible, extending to vestibule depth, associated with pain on palpation and paresthesia. Panoramic radiograph revealed a poorly defined radiolucent image without sclerotic border, with destruction of the periodontal ligament corresponding to tooth 36. Incisional biopsy was performed, and the histopathologic report was compatible with osteosarcoma. The patient was referred for oncology treatment. Osteosarcomas in the mandible are extremely rare, and this case justifies investigation as the patient had already presented another type of tumor in the proximal region.

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