Gosau M, Baumhoer D, Ihrler S, Kleinheinz J, Driemel O. Ewing sarcoma of the mandible mimicking an odontogenic abscess - a case report.
Head Face Med 2008;
4:24. [PMID:
18983686 PMCID:
PMC2644679 DOI:
10.1186/1746-160x-4-24]
[Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2008] [Accepted: 11/05/2008] [Indexed: 12/16/2022] Open
Abstract
Ewing sarcoma (ES) of the mandible is rare and can be mistaken for inflammation of dental origin. We present a 24-year old male patient which underwent radical tumour surgery and primary reconstruction with a microvascular osteoseptocutaneous free fibular flap as well as postoperative adjuvant chemotherapy. Incomplete osseous tumour resection required a second intervention. This case report recapitulates the clinical and histopathological findings in oral ES, demonstrates its sometimes difficult diagnosis and discusses the (dis-)advantages of primary osseous reconstruction in ablative tumour surgery.
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