Ewing sarcoma of the mandible mimicking an odontogenic abscess - a case report.
Ewing sarcoma (ES) of the mandible is rare and can be mistaken for inflammation of dental origin. We present a 24-year old male patient which underwent radical tumour surgery and primary reconstruction with a microvascular osteoseptocutaneous free fibular flap as well as postoperative adjuvant chemotherapy. Incomplete osseous tumour resection required a second intervention. This case report recapitulates the clinical and histopathological findings in oral ES, demonstrates its sometimes difficult diagnosis and discusses the (dis-)advantages of primary osseous reconstruction in ablative tumour surgery.
Gosau
Martin
M
Department of Cranio-Maxillo-Facial Surgery, University of Münster, Germany. martin.gosau@klinik.uni-regensburg.de
Baumhoer
Daniel
D
Ihrler
Stefan
S
Kleinheinz
Johannes
J
Driemel
Oliver
O
D000038:Abscess / Q000175:diagnosis*; D001706:Biopsy; D003937:Diagnosis, Differential; D005146:Facial Asymmetry / Q000175:diagnosis; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000175:diagnosis*; D008339:Mandibular Neoplasms / Q000175:diagnosis*; D009062:Mouth Neoplasms / Q000473:pathology; D009361:Neoplasm Invasiveness; D010014:Osteolysis / Q000175:diagnosis; D012512:Sarcoma, Ewing / Q000175:diagnosis* / Q000473:pathology; D014062:Tongue Neoplasms / Q000473:pathology; D055815:Young Adult