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Extra Skeletal Ewing's Sarcoma: a Case Report.

Hassan Mir Mohmmad Sadeghi1, Fatemeh Mashhadi Abbas2, Nasim Taghavi2

  • 1Dept. of Oral and Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Journal of Dentistry (Shiraz, Iran)
|March 12, 2020
PubMed
Summary
This summary is machine-generated.

This case study details a rare extra-skeletal Ewing's sarcoma in the oral cavity. Surgical removal led to an excellent prognosis for the patient with no recurrence after 13 months.

Keywords:
Ewing's SarcomaExtra SkeletalOral cavity

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Area of Science:

  • Oncology
  • Oral Pathology
  • Surgical Oncology

Background:

  • Ewing's sarcoma is a rare bone cancer typically affecting adolescents and young adults.
  • Extra-skeletal Ewing's sarcoma (ES) is an even rarer variant, with limited documented cases in the oral cavity.

Observation:

  • A 1.5x1.5cm soft tissue mass was identified in the right mandibular vestibule.
  • Radiographic imaging showed no mandibular bone involvement.
  • Microscopic examination revealed a malignant small round cell tumor with CD99 immunoreactivity, characteristic of Ewing's sarcoma.

Findings:

  • The patient underwent successful enucleation surgery under local anesthesia.
  • Histopathological confirmation of extra-skeletal Ewing's sarcoma of the oral soft tissue was achieved.
  • Post-operative follow-up at 13 months showed the patient to be symptom-free.

Implications:

  • This case highlights the importance of considering rare diagnoses like extra-skeletal Ewing's sarcoma in oral masses.
  • Early detection and surgical intervention can lead to favorable outcomes.
  • Further research into ES of the oral cavity may improve diagnostic and treatment strategies.