title: Management of Hard Palatine Fistula Caused by Granulocytic Sarcoma: Case Report.
abstract: Granulocytic Sarcoma (GS) is a rare condition with a wide list of differential diagnosis and debatable guidelines of treatment in different cancer centers. Most of literature recommended systemic chemotherapy with or without radiation therapy and small role of surgery. One of the rarest sites for myeloid sarcoma is hard palate, which usually worsen the quality of life of the patient due to difficulty in feeding, drinking and speaking. We are reporting a case of hard palatine fistula caused by granulocytic sarcoma, in which we tried to get local control of disease with 3 dimension conformal radiation therapy 3DCRT and surgery with systemic control with chemotherapy using recommendation of multidisciplinary team and targeting mainly patient quality of life.
authors.affiliation: Nasser Institute Cancer Center, Egypt.
authors.forename: Rasha
authors.initials: R
authors.lastname: Aboelhassan
authors.affiliation: Nasser Institute Cancer Center, Egypt.
authors.forename: Howayda Abdel
authors.initials: HA
authors.lastname: Ali
authors.affiliation: Nasser Institute Cancer Center, Egypt.
authors.forename: Asmaa
authors.initials: A
authors.lastname: Mohammed
authors.affiliation: Nasser Institute Cancer Center, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Mousa
authors.affiliation: Nasser Institute Hospital, Egypt.
authors.forename: Mohamed Elsayed
authors.initials: ME
authors.lastname: Hassan
authors.affiliation: Nasser Institute Cancer Center.
authors.forename: Mohamed Abdel Moaty
authors.initials: MA
authors.lastname: Samra
authors.affiliation: Nasser Institute Cancer Center, Egypt.
authors.forename: Raafat Abdel
authors.initials: RA
authors.lastname: Fattah
mesh_terms: D003937:Diagnosis, Differential; D005402:Fistula / Q000209:etiology*; D006801:Humans; D021362:Palate, Hard; D011788:Quality of Life; D023981:Sarcoma, Myeloid / Q000150:complications / Q000175:diagnosis / Q000628:therapy