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Feng Y, Wang T, Lin Z, Zhang L, Huang X, Sun G, Xia S. Clinical and imaging features of eight cases of Ewing sarcoma of the jaw. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2023; 41:185-189. [PMID: 37056184 PMCID: PMC10427248 DOI: 10.7518/hxkq.2023.2022325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 10/30/2022] [Indexed: 04/15/2023]
Abstract
OBJECTIVES This study investigate the clinical and imaging features of Ewing sarcoma (ES) of the jaw. METHODS Eight cases of pathologically diagnosed ES of the jaw from January 2010 to June 2022 were included in the study. Clinical and radiological features were retrospectively analyzed. RESULTS Among the eight cases, the mean age at onset was 29.4 years, and the male to female ratio was 7∶1. The predilecting site was the posterior part of mandible, accounting for 75% of the cases. The lesions often exhibited early numbness of the lower lip and lymphadenopathy. The main radiographic manifestation of mandibular lesions was ill-defined radiolucency, mixed with fibrous or brush-like tumor matrix, and soft tissue mass. The maxillary ES lesions mainly presented as lytic bone destruction accompanied by adjacent soft tissue mass. Periosteal ossification was rarely seen. CONCLUSIONS The clinical and imaging characteristics of ES in the jaw are helpful for its diagnosis.
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Affiliation(s)
- Yinglian Feng
- Dept. of Oral and Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - Tiemei Wang
- Dept. of Oral and Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - Zitong Lin
- Dept. of Oral and Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - Lei Zhang
- Dept. of Oral Pathology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - Xiaofeng Huang
- Dept. of Oral Pathology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - Guowen Sun
- Dept. of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - Shu Xia
- Dept. of Oral Pathology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
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Long E, You D, Wang S, Lu S, Xu P, Zhou J, Li L, Wu J, Zhang B, Zhu G, Lang J. Outcome of primary intraosseous carcinoma: cases review of a single institution. Oral Dis 2022. [PMID: 35500146 DOI: 10.1111/odi.14233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 04/17/2022] [Accepted: 04/27/2022] [Indexed: 02/05/2023]
Abstract
OBJECTIVE The purpose of this study was to investigate the prognostic factors and treatment of primary intraosseous carcinoma. METHODS Patients diagnosed with primary intraosseous carcinoma and received treatment in Sichuan cancer hospital from 2000 to 2019 were followed up and retrospectively reviewed. RESULTS A total of 28 patients were included in the study, with a mean age of 60 years (60±10.11). The 2-year and 5-year overall survival were 60.7% and 38.5% respectively. In the univariate analysis, surgery combined with adjuvant therapy improved the overall survival compared with surgery or radiotherapy alone (P=0.035), and patients received postoperative adjuvant radiotherapy had a higher overall survival than those who received radical radiotherapy (P = 0.01). In addition, patients with well differentiated tumors have increased progression free survival (P=0.01). Multivariate analyses showed that radiotherapy was an independent indicator for overall survival (P = 0.007). CONCLUSIONS surgery combined with adjuvant therapy is the superior treatment strategy for primary intraosseous carcinoma at present. This study is the first to confirm the positive role of radiotherapy in treating primary intraosseous carcinoma with data to back it up.
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Affiliation(s)
- En Long
- Department of Oncology, Southwest Medical University, 646000, Luzhou, China
| | - Dongling You
- Department of Oncology, Southwest Medical University, 646000, Luzhou, China
| | - Shubin Wang
- School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China
| | - Shun Lu
- Department of radiation oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Prevention and Control Center, School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China.,Department of Radiological Protection, Radiation Oncology Key Laboratory of Sichuan Province, 610041, Chengdu, China
| | - Peng Xu
- Department of radiation oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Prevention and Control Center, School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China
| | - Jie Zhou
- Department of radiation oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Prevention and Control Center, School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China
| | - Lu Li
- Department of radiation oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Prevention and Control Center, School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China
| | - Jian Wu
- Department of Oncology, Southwest Medical University, 646000, Luzhou, China
| | - Biqin Zhang
- School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China
| | - Guiquan Zhu
- Department of Head and Neck Oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Prevention and Control Center, School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China.,State Key Laboratory of Oral Diseases, National Clinical Research Centre for Oral Diseases, Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, 610041, Chengdu, China
| | - Jinyi Lang
- Department of Oncology, Southwest Medical University, 646000, Luzhou, China.,Department of radiation oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Prevention and Control Center, School of Medicine, University of Electronic Science and Technology of China, 610041, Chengdu, China.,Department of Radiological Protection, Radiation Oncology Key Laboratory of Sichuan Province, 610041, Chengdu, China
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