EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTION

A 10-year-old spayed female Scottish Straight cat presented with a firm, non-movable mass in the right mandible. Over the past month, it had progressively enlarged, leading to difficulty eating and subsequent weight loss. Computed tomography (CT) scans revealed that the mass was confined to the bod...

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Main Authors: Eun-Jae Cho, Min-Jung Ko, Jae-Eun Hyun, Aryung Nam, Yun Young Go, Hun-Young Yoon
Format: Article
Language:English
Published: University of Ljubljana Press (Založba Univerze v Ljubljani) 2025-07-01
Series:Slovenian Veterinary Research
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Online Access:https://www.slovetres.si/index.php/SVR/article/view/2147
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author Eun-Jae Cho
Min-Jung Ko
Jae-Eun Hyun
Aryung Nam
Yun Young Go
Hun-Young Yoon
author_facet Eun-Jae Cho
Min-Jung Ko
Jae-Eun Hyun
Aryung Nam
Yun Young Go
Hun-Young Yoon
author_sort Eun-Jae Cho
collection DOAJ
description A 10-year-old spayed female Scottish Straight cat presented with a firm, non-movable mass in the right mandible. Over the past month, it had progressively enlarged, leading to difficulty eating and subsequent weight loss. Computed tomography (CT) scans revealed that the mass was confined to the body of the mandible, with a prominent periosteal reaction characterized by a spiculated pattern. The extensive and irregular morphology of the periosteal reaction strongly suggested malignancy. No evidence suggestive of metastasis was identified on physical examination or diagnostic imaging. Surgical resection was prioritized over obtaining a definitive diagnosis, owing to the rapid increase in mass size and associated clinical signs. An extended subtotal mandibulectomy was performed for diagnostic and therapeutic purposes, revealing alveolar osteomyelitis. Postoperatively, the patient showed improved masticatory function with no apparent signs of oral pain, indicating a good surgical outcome. During the 16-month follow-up period, the patient remained in good general and physical condition without recurrence of the mass. To the best of our knowledge, this is the first report suggesting that osteomyelitis can present with an extensive, irregular periosteal reaction with radiating lines (“sunburst” subtype), typically associated with malignant tumors. Additionally, surgical resection may be critical for recovery of masticatory function and alleviation of oral pain, even in cases involving benign mandibular lesions.
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spelling doaj-art-c60abedee8ab4d7e989c581773e67ee52025-08-20T03:51:29ZengUniversity of Ljubljana Press (Založba Univerze v Ljubljani)Slovenian Veterinary Research1580-40032385-87612025-07-0110.26873/SVR-2147-2025EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTIONEun-Jae Cho0Min-Jung Ko1Jae-Eun Hyun2Aryung Nam3Yun Young Go4Hun-Young Yoon5Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 05029, Republic of KoreaDepartment of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 05029, Republic of KoreaDepartment of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 05029, Republic of KoreaDepartment of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 05029, Republic of KoreaLaboratory of Large Animal Clinical Science, College of Veterinary Medicine, Konkuk University, 120 Neungdong-ro,Gwangjin-gu, Seoul 05029, Republic of KoreaDepartment of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, 05029,Seoul; KU Center for Animal Blood Medical Science, Konkuk University, Seoul 05030, Republic of Korea, yoonh@konkuk.ac.kr A 10-year-old spayed female Scottish Straight cat presented with a firm, non-movable mass in the right mandible. Over the past month, it had progressively enlarged, leading to difficulty eating and subsequent weight loss. Computed tomography (CT) scans revealed that the mass was confined to the body of the mandible, with a prominent periosteal reaction characterized by a spiculated pattern. The extensive and irregular morphology of the periosteal reaction strongly suggested malignancy. No evidence suggestive of metastasis was identified on physical examination or diagnostic imaging. Surgical resection was prioritized over obtaining a definitive diagnosis, owing to the rapid increase in mass size and associated clinical signs. An extended subtotal mandibulectomy was performed for diagnostic and therapeutic purposes, revealing alveolar osteomyelitis. Postoperatively, the patient showed improved masticatory function with no apparent signs of oral pain, indicating a good surgical outcome. During the 16-month follow-up period, the patient remained in good general and physical condition without recurrence of the mass. To the best of our knowledge, this is the first report suggesting that osteomyelitis can present with an extensive, irregular periosteal reaction with radiating lines (“sunburst” subtype), typically associated with malignant tumors. Additionally, surgical resection may be critical for recovery of masticatory function and alleviation of oral pain, even in cases involving benign mandibular lesions. https://www.slovetres.si/index.php/SVR/article/view/2147mandibular massalveolar osteomyelitisperiosteal reactionmandibulectomycat
spellingShingle Eun-Jae Cho
Min-Jung Ko
Jae-Eun Hyun
Aryung Nam
Yun Young Go
Hun-Young Yoon
EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTION
Slovenian Veterinary Research
mandibular mass
alveolar osteomyelitis
periosteal reaction
mandibulectomy
cat
title EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTION
title_full EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTION
title_fullStr EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTION
title_full_unstemmed EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTION
title_short EXTENDED SUBTOTAL MANDIBULECTOMY IN A CAT WITH ALVEOLAR OSTEOMYELITIS CHARACTERIZED BY A SPICULATED PERIOSTEAL REACTION
title_sort extended subtotal mandibulectomy in a cat with alveolar osteomyelitis characterized by a spiculated periosteal reaction
topic mandibular mass
alveolar osteomyelitis
periosteal reaction
mandibulectomy
cat
url https://www.slovetres.si/index.php/SVR/article/view/2147
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AT minjungko extendedsubtotalmandibulectomyinacatwithalveolarosteomyelitischaracterizedbyaspiculatedperiostealreaction
AT jaeeunhyun extendedsubtotalmandibulectomyinacatwithalveolarosteomyelitischaracterizedbyaspiculatedperiostealreaction
AT aryungnam extendedsubtotalmandibulectomyinacatwithalveolarosteomyelitischaracterizedbyaspiculatedperiostealreaction
AT yunyounggo extendedsubtotalmandibulectomyinacatwithalveolarosteomyelitischaracterizedbyaspiculatedperiostealreaction
AT hunyoungyoon extendedsubtotalmandibulectomyinacatwithalveolarosteomyelitischaracterizedbyaspiculatedperiostealreaction