It has been reported a low incidence in the head and neck. Magnetic resonance imaging was useful in preoperative evaluation.
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The treatment consisted in radical resection, and the histological analysis completed the diagnosis. The postoperative management consisted in a combination of chemotherapy for systemic control and irradiation for local control.
A very few cases of cervical tumors were reported. Radical resection followed by radio-chemotherapy has good results in the treatment of this rare tumor. Sarcomul Ewing extrascheletal este o tumoră rară, de origine mezenchimală, similară din punct de vedere histologic cu osteosarcomul Ewing. Este o tumoră rar întâlnită la nivelul capului și gâtului. Autorii prezintă un caz de sarcom Ewing extrascheletal sub forma unei tumori laterocervicale stângi situate posterior de sarcoma cancer jaw sternocleidomastoidian.
Sarcoma cancer jaw RMN a fost util în evaluarea preoperatorie.
Tratamentul a constat în excizia radicală a tumorii laterocervicale, urmată de examen histopatologic. Sarcoma cancer jaw s-au efectuat chimioterapie pentru controlul sistemic și radioterapie pentru controlul local. Sarcomul Ewing extrascheletal este o tumoră rară, cu evoluție agresivă. În sarcoma cancer jaw au fost raportate puține sarcoma cancer jaw de sarcoame Ewing extrascheletale prezentate sub forma unor tumori laterocervicale.
Sarcom vs carcinom vs adenomatos
Excizia radicală urmată de radiochimioterapie are cele mai bune rezultate în tratamentul acestor sarcoma cancer jaw. It was first recognized by Tefft et al. Sarcoma cancer jaw to Chao et al. In head and neck, EES is usually identified in nasal or oral cavities, sinuses or soft tissues 6. EES is characterized by an aggressive course and high rate of recurrences.
Cancerul cavităţii bucale: simptome, complicaţii şi tratament
The treatment consists in a combination of surgery, radiotherapy and chemotherapy. Case report A year-old female was admitted in ENT Sarcoma cancer jaw with a 2-month history of painless posterior left laterocervical mass with rapid evolution Figure 1. Figure 1. Figure 2.
MRI transversal plane The videofibroscopy of rhinopharynx, hypopharynx and larynx was normal. The MRI showed a posterior laterocervical solid mass, with a maximum diameter of 8 cm Figure 2 and Figure 3.
Figure 3. MRI coronal plane Figure 4.
Intraoperative image after complete removal of the tumor Figure 5. The patient at 2 months after surgery - local recurrence The patient underwent surgical excision followed by histopathological exam Figure 4. The patient underwent 6 chemotherapy cycles sarcoma cancer jaw vincristine, doxorubicin and cyclophosphamide, followed by external radiotherapy.
Large Tumor of Upper Jaw (Maxilla) removed through mouth
Figure 6. PET-CT scan 2 sarcoma cancer jaw after surgery - sagittal view At 10 months after initial diagnosis, the patient presented sarcoma cancer jaw incomplete resolution of the tumor Figure 8severe radiomucositis grade 4 WHO and was admitted in the sarcoma cancer jaw department. Figure 8.
Oral and Maxillofacial Surgery: Raymond J. Fonseca · | Books Express
EES in head and neck region must be differentiated from lymphoma, rhabdomyosarcoma, poorly differentiated salivary gland tumors, olfactory neuroblastoma, undifferentiated nasopharyngeal carcinoma and melanoma. Case particularities The localization of EES in the neck is very rare.
Comorbidities - immunosuppression caused by chronic use of prednisolone could be an etiologic factor. Delay of the radiotherapy after surgery 2 months caused tumor recurrence, EES being a very aggressive type of tumor.
Extraskeletal Ewing’s sarcoma presenting as a neck mass - case report
Bibliografie 1. Head Neck Pathol. Hum Pathol. Eur J Cancer Clin Oncol.
J Laryngol Otol. Windfuhr JP. Primitive neuroectodermal tumor of the head and neck: incidence, diagnosis, and management. Ann Otol Rhinol Laryngol.