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Primary jaw tumors in children
Shelly Abramowicz1, Batya R Goldwaser, Maria J Troulis
1Department of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, and Department of Plastic and Oral Surgery, Children's Hospital Boston, Boston, MA 02445, USA. shelly.abramowicz@childrens.harvard.edu
Primary jaw tumors in children show varied behavior, often not predicted by histology alone. Management should focus on clinical behavior for better outcomes in pediatric patients.
Area of Science:
- Pediatric Oncology
- Oral and Maxillofacial Surgery
- Tumor Biology
Background:
- Primary jaw tumors in children are rare but require careful management.
- Understanding tumor behavior is crucial for effective treatment planning.
Purpose of the Study:
- To document tumor types, behavior, management, and outcomes of pediatric primary jaw tumors.
- To analyze factors influencing recurrence and complications.
Main Methods:
- Retrospective analysis of 102 children (≤16 years) with primary jaw tumors (1991-2009).
- Review of patient records, radiographs, and pathology reports.
- Classification by tumor type, clinical behavior (nonaggressive/aggressive), and treatment.
Main Results:
- Mesenchymal tumors were most common (n=96).
- Nonaggressive tumors had 0% recurrence with conservative management.
- Aggressive tumors had a 7.1% recurrence rate with en bloc resection and adjuvant therapy.
Conclusions:
- Pediatric jaw tumor behavior can be unpredictable based on histology alone.
- Clinical and biological behavior should guide management decisions.
- Tailored treatment strategies are essential for optimal outcomes.
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