TY - JOUR
T1 - Professional diagnostic delay in osteosarcomas of the jaws
AU - van der Waal, I.
PY - 2020
Y1 - 2020
N2 - A series of 20 consecutive patients with an osteosarcoma of the jaws has been evaluated with regard to possible professional diagnostic delay. When set at an arbitrarily chosen period beyond three months, professional delay occurred in 15 patients, the mean being 21 months and the median 11 months. In five of the 15 patients a wrong diagnosis has been rendered on the biopsy specimen, being fibrous dysplasia (2x), osteoma (2x) and, in case of pala-tomaxillary swelling, pleomorphic adenoma (1x). In the other ten patients the initial clinicoradiographic features were misleading and apparently not indicative of a malignancy, except for one patient in whom a distinct widening of the periodontal ligament, as expressed on a periapical film, has been overlooked or not properly interpreted. It has not been possible to assess the possible influence of the delayed diagnosis on the prognosis.
AB - A series of 20 consecutive patients with an osteosarcoma of the jaws has been evaluated with regard to possible professional diagnostic delay. When set at an arbitrarily chosen period beyond three months, professional delay occurred in 15 patients, the mean being 21 months and the median 11 months. In five of the 15 patients a wrong diagnosis has been rendered on the biopsy specimen, being fibrous dysplasia (2x), osteoma (2x) and, in case of pala-tomaxillary swelling, pleomorphic adenoma (1x). In the other ten patients the initial clinicoradiographic features were misleading and apparently not indicative of a malignancy, except for one patient in whom a distinct widening of the periodontal ligament, as expressed on a periapical film, has been overlooked or not properly interpreted. It has not been possible to assess the possible influence of the delayed diagnosis on the prognosis.
KW - Diagnostic delay
KW - Osteosarcoma of the jaws
UR - http://www.scopus.com/inward/record.url?scp=85094603609&partnerID=8YFLogxK
U2 - https://doi.org/10.4317/medoral.24334
DO - https://doi.org/10.4317/medoral.24334
M3 - Article
C2 - 33125360
SN - 1698-4447
VL - 25
SP - e834-e837
JO - Medicina Oral Patologia Oral y Cirurgia Bucal
JF - Medicina Oral Patologia Oral y Cirurgia Bucal
IS - 6
M1 - 24334
ER -