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1-Osteosarcoma. Is the most common malignant bone tumor, most commonly occurs in the long bones (femur, humerus) ,
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1. Malignant tumors of the jaw bones
2. 1-Osteosarcoma Is the most common malignant bone tumor, most commonly occurs in the long bones (femur, humerus) , & approximately 7% occur in the head & neck area.
The predisposing factors or conditions include:
Gene mutation, radiation therapy, & in older patients with a history of Pagets disease of bone
3. Clinically
1- the peak incidence of the tumor in the long bone having a mean onset age of 24 Y., while in the jaw bones 33 Y of age
2- in the jaw bones are usually appear as bony-hard swelling of the buccal & lingual cortices, with or without pain, & often associated with separation of teeth.
3-in some patients occur as exophytic hard nodule on the attached gingiva, appearing as soft tissue epulides, but it is uncommon.
X-ray: varies considerably
Depending on histopathologic stage, the lesion may appear as radiolucency, or as radiopacity within a diffuse non-defined radiolucency
Also show widening of the PdL in adjacent teeth.
On occlusal radiograph the lesion reveals a sunburst pattern of radiopacity radiating from the periosteum.