CHONDROSARCOMA OF THE MANDIBLE PRESENTING AS PERIODONTAL LESIONS - REPORT OF 2 CASES

A review of the literature and the addition of 2 cases in the mandibul ar symphyseal region serve to illustrate the protean presentation of c hondrosarcomas. These 2 cases presented as periodontal lesions with as sociated bone loss. A high index of suspicion is required to make an e arly diagnosis. The importance of submitting biopsy specimens for hist ology is stressed, and it is recommended that definitive treatment be carried out as rapidly as possible after diagnosis is known. The surgi cal procedures undertaken were conservative, and patients have remaine d disease-free after 3.5 years and 3 years respectively. For small les ions, early segmental resection is not necessary in this region. Only recurrence should be treated by symphyseal resection with its increase d morbidity. Close follow-up is mandatory.