Work

Chronic Osteomyelitis or Squamous Cell Carcinoma of the Mandible: A Case Report With Diagnostic Challenges

Year: 2026

Type: article

Abstract: It is not uncommon for many of the patients with oral squamous cell carcinoma (OSCC) to encounter diagnostic delays due to the similarity of their initial presentations with other jaw lesions. The present case report discusses jaw pain after a dental extraction, initially attributed to chronic osteomyelitis. After long and multiple diagnostic and prognostic procedures, the patient had mandibulectomy, neck dissection, and reconstruction for histopathologically substantiating stage pT4a OSCC. Delays in treatment may necessitate more aggressive interventions. Improved clinical awareness, telemedicine, enhanced doctor-patient communication, and refined diagnostic protocols contribute to better outcomes. This case highlights the diagnostic challenges of OSCC, particularly its ability to mimic chronic osteomyelitis. A delayed diagnosis emphasises the need for early recognition and intervention. While imaging aids in initial assessment, histopathology is crucial for a definitive diagnosis.

Source: Cureus

DOI: 10.7759/cureus.114928

Authors: Abdullah M Alsoghier, Saleh Alrumayyan, Asma Almunaye, Ibrahim Alsanie, Wajdi Mohammed (Bin), Saad Hajeri

Institutions: King Saud Medical City, King Saud University, King Fahd Medical City

Language: English

Topic: Head and Neck Cancer Studies

Subfield: Otorhinolaryngology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: King Saud University