経時的な増大と疼痛増悪を認めた下顎骨類骨骨腫の1例

An osteoid osteoma is a benign tumor. Its growth is limited, and the lesion size is generally less than 15 mm. This type of tumor arises most commonly in long bones of the lower limbs. It is extremely rare in the head and neck region, but relatively frequently develops in the cervical spine. Osteoid...

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Published in日本口腔外科学会雑誌 Vol. 60; no. 8; pp. 484 - 489
Main Authors 原田, 佳和, 大矢, 亮一, 大津, 聡美, 秋森, 俊行, 平島, 惣一, 宮脇, 昭彦
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.08.2014
Subjects
下顎
類骨骨腫
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.60.484

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Abstract An osteoid osteoma is a benign tumor. Its growth is limited, and the lesion size is generally less than 15 mm. This type of tumor arises most commonly in long bones of the lower limbs. It is extremely rare in the head and neck region, but relatively frequently develops in the cervical spine. Osteoid osteomas account for about 3 % of all bone tumors，and about 1 % of them arise in the jaw. This tumor occurs most frequently at the age of 20-29 years, and men are more frequently affected than women (man:woman ratio, 2-3:1). We report a patient with a mandibular osteoid osteoma. A 28-year-old man visited our department because of haphalgesia in the lingual gingiva of the right mandibular first premolar. In this region, mild redness and a hard bone-like protrusion were observed, and marked haphalgesia was present. Computed tomography (CT) showed a well-delineated radiopaque area (about 2 mm) surrounded by a radiolucent band. After about a year, the swelling in this area increased, and spontaneous pain developed. CT revealed a lesion (about 7 mm in diameter) showing a mixture of radiolucent and radiopaque areas. The tumor was resected under general anesthesia, and an osteoid osteoma was diagnosed on the basis of clinical and histopathological findings. As of 1 year after surgery, there have been no definite findings suggesting recurrence, and we intend to perform further follow-up.
AbstractList An osteoid osteoma is a benign tumor. Its growth is limited, and the lesion size is generally less than 15 mm. This type of tumor arises most commonly in long bones of the lower limbs. It is extremely rare in the head and neck region, but relatively frequently develops in the cervical spine. Osteoid osteomas account for about 3 % of all bone tumors，and about 1 % of them arise in the jaw. This tumor occurs most frequently at the age of 20-29 years, and men are more frequently affected than women (man:woman ratio, 2-3:1). We report a patient with a mandibular osteoid osteoma. A 28-year-old man visited our department because of haphalgesia in the lingual gingiva of the right mandibular first premolar. In this region, mild redness and a hard bone-like protrusion were observed, and marked haphalgesia was present. Computed tomography (CT) showed a well-delineated radiopaque area (about 2 mm) surrounded by a radiolucent band. After about a year, the swelling in this area increased, and spontaneous pain developed. CT revealed a lesion (about 7 mm in diameter) showing a mixture of radiolucent and radiopaque areas. The tumor was resected under general anesthesia, and an osteoid osteoma was diagnosed on the basis of clinical and histopathological findings. As of 1 year after surgery, there have been no definite findings suggesting recurrence, and we intend to perform further follow-up.
Author 原田, 佳和
宮脇, 昭彦
平島, 惣一
大矢, 亮一
大津, 聡美
秋森, 俊行
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References 6) Foss EL, Dockerty MB, et al : Osteoid osteoma of the mandible. Report of a case. Cancer 8: 592-594, 1955.
10) Hillman BS, Birck HG, et al : Osteoid osteoma of the maxilla in a four-year-old patient. Laryngoscope 75: 1872-1876, 1965.
20) Manjunatha BS and Nagarajappa D: Osteoid osteoma. Indian J Dent Res 20: 514-515, 2009.
3) Samir K and Mofty EL : Osteoid osteoma. In Douglas R, Gnepp MD, eds; Diagnostic Surgical Pathology of the Head and Neck, 2nd ed, SAUNDERS, 2009, p729-732.
18) Badauy C, Carrard V, et al : Rdadiopaque mass of the posterior mandible with lingual expansion. J Oral Maxillofac Surg 65: 2498-2502, 2007.
9) Lind O, Hillerstroem K, et al : Osteoid-osteoma in the mandibular condyle. Case report and survey of the literature. Acta Otolaryngol 57: 467-474, 1964.
13) Gupta OP, Fics DO, et al : Osteoid osteoma of the mandible. Ear Nose Throat J 64: 206-208, 1985.
22) Klein MJ, Parisien MV, et al : Osteoid osteoma. In Fletcher C, Unni K, eds: WHO Classfication of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press, Lyon, 2005, p55.
14) Zulian MA, Vincent SK, et al : Osteoid osteoma of the mandibular ramus. J Oral Maxillofac Surg 45: 712-714, 1987.
19) Do Egito Vasconcelos BC, Porto GG, et al : Rare benign tumors of the mandibular condyle : report of 2 case and literature review. J Oral Maxillofac Surg 65: 1830-1835, 2007.
17) Ida M, Kurabayashi T, et al : Osteoid osteoma in the mandible. Dentmaxillofac Radiol 31: 385-387, 2002.
7) Nelson AR: Osteoid osteoma of maxilla. AMA Arch Surg 70: 459-461, 1955.
15) Tochihara S, Sato T, et al : Osteoid osteoma in mandibular condyle. Int J Oral Maxillofac Surg 30: 455-457, 2001.
2) Rahsepar B, Nikgoo A, et al : Osteoid osteoma of subcondylar region: case report and review of the literature. J Oral Maxillofac Surg 67: 888-893, 2009.
8) Stoopack JC: Sialolith and osteoid osteoma. Oral Surg Oral Med Oral Pathol 11: 1220-1225, 1958.
4) Karandikar S, Thakur G, et al : Osteoid osteoma of mandible. BMJ Case Rep 5: 2011. Accessed April 17, 2014.
12) Brynolf I: Osteoid osteoma and fibrous dysplasia in the periapical region of maxillary incisors. Report of three cases. Oral Surg Oral Med Oral Pathol 28: 243-248, 1969.
16) Chung, JL, Chang KW, et al : A variant of osteoid osteoma of the mandible: Report of a case. J Oral Maxillofac Surg 60: 219-221, 2002.
1) Jundt G, Bertoni F, et al : Osteoid osteoma. In Barnes L, Eveson JW, eds; WHO Classification of Tumours, Pathology and Genetics of Head and Neck Tumours. IARC Press, Lyon, 2005, p55-56.
21) Mohammed I, Jannan NA, et al : Osteoid osteoma associated with the teeth: unusual presentation. Int J Oral Maxillofac Surg 42: 298-302, 2013.
23) Kawaguchi Y, Sato C, et al : Intraarticular osteoid osteoma associated with synovitis: a possible role of cyclooxygenase-2 expression by osteoblasts in the nidus. Mod Pathol 13: 1086-1091, 2000.
11) Greene GW, Natiella JR, et al : Osteoid osteoma of the jaws. Report of a case. Oral Surg Oral Med Oral Pathol 26: 342-351, 1968.
5) Rushton MA: An Osteoid osteoma of the Mandibular alveolus. Oral Surg Oral Med Oral Pathol 4: 86-88, 1951.
References_xml – reference: 13) Gupta OP, Fics DO, et al : Osteoid osteoma of the mandible. Ear Nose Throat J 64: 206-208, 1985.
– reference: 14) Zulian MA, Vincent SK, et al : Osteoid osteoma of the mandibular ramus. J Oral Maxillofac Surg 45: 712-714, 1987.
– reference: 21) Mohammed I, Jannan NA, et al : Osteoid osteoma associated with the teeth: unusual presentation. Int J Oral Maxillofac Surg 42: 298-302, 2013.
– reference: 8) Stoopack JC: Sialolith and osteoid osteoma. Oral Surg Oral Med Oral Pathol 11: 1220-1225, 1958.
– reference: 1) Jundt G, Bertoni F, et al : Osteoid osteoma. In Barnes L, Eveson JW, eds; WHO Classification of Tumours, Pathology and Genetics of Head and Neck Tumours. IARC Press, Lyon, 2005, p55-56.
– reference: 7) Nelson AR: Osteoid osteoma of maxilla. AMA Arch Surg 70: 459-461, 1955.
– reference: 18) Badauy C, Carrard V, et al : Rdadiopaque mass of the posterior mandible with lingual expansion. J Oral Maxillofac Surg 65: 2498-2502, 2007.
– reference: 23) Kawaguchi Y, Sato C, et al : Intraarticular osteoid osteoma associated with synovitis: a possible role of cyclooxygenase-2 expression by osteoblasts in the nidus. Mod Pathol 13: 1086-1091, 2000.
– reference: 16) Chung, JL, Chang KW, et al : A variant of osteoid osteoma of the mandible: Report of a case. J Oral Maxillofac Surg 60: 219-221, 2002.
– reference: 11) Greene GW, Natiella JR, et al : Osteoid osteoma of the jaws. Report of a case. Oral Surg Oral Med Oral Pathol 26: 342-351, 1968.
– reference: 9) Lind O, Hillerstroem K, et al : Osteoid-osteoma in the mandibular condyle. Case report and survey of the literature. Acta Otolaryngol 57: 467-474, 1964.
– reference: 22) Klein MJ, Parisien MV, et al : Osteoid osteoma. In Fletcher C, Unni K, eds: WHO Classfication of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press, Lyon, 2005, p55.
– reference: 19) Do Egito Vasconcelos BC, Porto GG, et al : Rare benign tumors of the mandibular condyle : report of 2 case and literature review. J Oral Maxillofac Surg 65: 1830-1835, 2007.
– reference: 20) Manjunatha BS and Nagarajappa D: Osteoid osteoma. Indian J Dent Res 20: 514-515, 2009.
– reference: 12) Brynolf I: Osteoid osteoma and fibrous dysplasia in the periapical region of maxillary incisors. Report of three cases. Oral Surg Oral Med Oral Pathol 28: 243-248, 1969.
– reference: 3) Samir K and Mofty EL : Osteoid osteoma. In Douglas R, Gnepp MD, eds; Diagnostic Surgical Pathology of the Head and Neck, 2nd ed, SAUNDERS, 2009, p729-732.
– reference: 6) Foss EL, Dockerty MB, et al : Osteoid osteoma of the mandible. Report of a case. Cancer 8: 592-594, 1955.
– reference: 15) Tochihara S, Sato T, et al : Osteoid osteoma in mandibular condyle. Int J Oral Maxillofac Surg 30: 455-457, 2001.
– reference: 5) Rushton MA: An Osteoid osteoma of the Mandibular alveolus. Oral Surg Oral Med Oral Pathol 4: 86-88, 1951.
– reference: 10) Hillman BS, Birck HG, et al : Osteoid osteoma of the maxilla in a four-year-old patient. Laryngoscope 75: 1872-1876, 1965.
– reference: 2) Rahsepar B, Nikgoo A, et al : Osteoid osteoma of subcondylar region: case report and review of the literature. J Oral Maxillofac Surg 67: 888-893, 2009.
– reference: 4) Karandikar S, Thakur G, et al : Osteoid osteoma of mandible. BMJ Case Rep 5: 2011. Accessed April 17, 2014.
– reference: 17) Ida M, Kurabayashi T, et al : Osteoid osteoma in the mandible. Dentmaxillofac Radiol 31: 385-387, 2002.
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SubjectTerms 下顎
類骨骨腫
Title 経時的な増大と疼痛増悪を認めた下顎骨類骨骨腫の1例
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