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Ewing sarcoma of the maxilla: a rare presentation
Shalini Gupta1, O P Gupta, Sanjay Mehrotra
1Department of Oral Pathology, Uttar Pradesh King George's University of Dental Sciences, Lucknow, India. sgmds2002@yahoo.co.in
Quintessence International (Berlin, Germany : 1985)
|January 27, 2009
Summary
This case report details a rare instance of Ewing sarcoma in the head and neck, specifically affecting the maxilla and palate. Early diagnosis and multimodal treatment were crucial for this aggressive cancer.
Area of Science:
- Oncology
- Pathology
- Head and Neck Surgery
Background:
- Ewing sarcoma is a rare and aggressive bone cancer, predominantly affecting children and young adults.
- Head and neck involvement, particularly in the maxilla or palate, is exceptionally uncommon, making such cases noteworthy.
Observation:
- A patient presented with a rapidly expanding lesion in the nasal cavity, extending to the nasopharynx and destroying the hard palate into the oral cavity.
- Histopathological examination revealed an undifferentiated malignant neoplasm, with immunohistochemistry confirming Ewing sarcoma.
Findings:
- The definitive diagnosis of Ewing sarcoma was established through immunohistochemistry.
- The rare presentation involved extensive destruction of the hard palate and nasal cavity.
Implications:
- This case highlights the importance of considering rare diagnoses in head and neck oncology.
- Multimodal treatment including surgery, radiotherapy, and chemotherapy is essential for managing this aggressive malignancy.
