著者

小松 史 山田 哲男 植田 章夫 中島 潤子 中嶌 哲 川上 敏行

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.45, no.8, pp.506-508, 1999-08-20 (Released:2011-07-25)

参考文献数

16

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According to the classification of the World Health Organization (WHO), primary intraosseous carcinoma (central carcinoma) is defined as a squamous cell carcinoma arising within the jaw, having no initial connection with the oral mucosa, and presumably developing from residues of the odontogenic epithelium.We report a case of central carcinoma occurring in a 69-year-old man. Marsupialization was performed under the diagnosis of residual radicular cyst.Histopathological examination revealed a moderately differentiated squamous cell carcinoma with atypical lining epithelium. A combination of radiation and chemotherapy was given, followed by a partial maxillectomy. Unilateral total neck dissection was performed 3 months after the initial operation. Five years later, the patient has been free of recurrence and distant metastasis.