title: Interdisciplinary approach to the management of Ewing sarcoma: a case report.
abstract: Ewing sarcoma is a common primary bone malignancy occurring in childhood and adolescence. This case report describes a 4-year-old female patient who had Ewing sarcoma in the left clavicular region. The patient underwent total excision of the left clavicle and subsequently developed periodontitis and multiple carious lesions after chemotherapy. Caries risk and salivary flow rate tests were performed, followed by periodontal treatment, topical fluoride application, restoration of caries, and oral hygiene instruction. The care of this patient demonstrates that an interdisciplinary approach is essential to eliminate all foci of infection, minimize morbidity, and improve the patient's general health before, during, and after oncological treatment.
authors.affiliation: Department of Biosciences and Oral Diagnosis and Chairman, Bioscience Center for Special Health Care Needs, São José dos Campos Dental School - Univ. Estadual Paulista-UNESP, São Paulo, Brazil.
authors.forename: Mônica Fernandes
authors.initials: MF
authors.lastname: Gomes
authors.forename: Luana Galvão
authors.initials: LG
authors.lastname: Martins
authors.forename: Mônica Ghislaine Oliveira
authors.initials: MG
authors.lastname: Alves
authors.forename: Gabriela
authors.initials: G
authors.lastname: de Morais Gouvêa Lima
authors.forename: Rita
authors.initials: R
authors.lastname: de Cássia Araújo Rocha
authors.forename: Maria
authors.initials: M
authors.lastname: das Graças Vilela Goulart
mesh_terms: D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D058491:Bacterial Load; D001859:Bone Neoplasms / Q000601:surgery*; D002327:Cariostatic Agents / Q000627:therapeutic use; D002675:Child, Preschool; D002968:Clavicle / Q000601:surgery*; D003731:Dental Caries / Q000209:etiology; D003733:Dental Caries Susceptibility; D003773:Dental Plaque / Q000382:microbiology; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007778:Lactobacillus / Q000302:isolation & purification; D009910:Oral Hygiene / Q000193:education; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods; D010518:Periodontitis / Q000209:etiology; D018570:Risk Assessment; D012463:Saliva / Q000378:metabolism; D012512:Sarcoma, Ewing / Q000556:secondary / Q000601:surgery*; D012636:Secretory Rate / Q000502:physiology; D013295:Streptococcus mutans / Q000302:isolation & purification; D014987:Xerostomia / Q000209:etiology
chemical_list: D000970:Antineoplastic Agents; D002327:Cariostatic Agents; D005460:Fluorides, Topical