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Submitted: 22 Jan 2022
Revision: 08 Mar 2022
Accepted: 16 Mar 2022
ePublished: 10 Mar 2023
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Avicenna J Dent Res. 2023;15(1): 10-17.
doi: 10.34172/ajdr.2023.579
  Abstract View: 349
  PDF Download: 357

Original Article

Evaluation of Radiographic Features and Clinical Signs of Maxillofacial Malignancies in Patients Referred to Mashhad Dental School During 2003-2017

Samareh Mortazavi 1,2 ORCID logo, Atessa Pakfetrat 3, Masoome Baghbani 4, Atie Safaee 1,2* ORCID logo

1 Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant Professor, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3 Professor, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 Private Dental Practice, Mashhad, Iran
*Corresponding Author: Corresponding author: Atie Safaee, Email: , Email: safaeiat@mums.ac.ir

Abstract

Background: The aim of this study was to evaluate the radiographic and clinical features of malignant oral and maxillofacial lesions in patients referred to the Radiology Department of Mashhad Dental School from 2003 to 2017.

Methods: A total of 45 radiographs of patients who had been referred to the Radiology Department of Mashhad Dental School from 2003 to 2017 were selected from the radiology archive. The patients presenting with malignant lesions in jaws and a definite pathologic diagnosis were selected as the study population. The radiographic features of lesions were investigated using intraoral radiographies, panoramic, and cone-beam computed tomography (CBCT) or computed tomography (CT) views. Then, 18 patients whose information was available were evaluated. Fisher’s exact test was used to compare the characteristics of lesions.

Results: The age of the patients ranged from 5 to 84 years, with a mean of 49.18 years. Of the 45 lesions identified, squamous cell carcinoma (SCC) was the most prevalent malignancy, followed by lymphoma and mucoepidermoid carcinoma. Most malignant lesions were seen in the posterior region of the jaws, and lesions were generally more prevalent in the mandible. Additionally, 77.8% of the observed malignancies had an ill-defined border, and 86.6% of them were radiolucent. In the clinical view, swelling was the most common symptom, and the duration of the disease in the majority of the lesions was less than 3 months.

Conclusions: Paying attention to the course of the lesion, its internal structure and borders in the radiographic view can lead to a more accurate differentiation of malignant lesions from benign ones and timely referral of the patient.


Please cite this article as follows: Mortazavi S, Pakfetrat A, Baghbani M, Safaee A. Evaluation of radiographic features and clinical signs of maxillofacial malignancies in patients referred to Mashhad Dental School during 2003-2017. Avicenna J Dent Res. 2023; 15(1):10-17. doi:10.34172/ajdr.2023.579
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