A rare case of Ewing sarcoma metastasis to the oral cavity.

Autor:	Schulz RE; Department of Stomatology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil., de Lima MHA; Department of Stomatology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil., Lopes RN; Department of Stomatology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil., Pinto CAL; Department of Anatomic Pathology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil., Nicolau UR; Department of Oncology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil., Araujo JP; Department of Stomatology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Imaging science in dentistry [Imaging Sci Dent] 2021 Jun; Vol. 51 (2), pp. 217-222. Date of Electronic Publication: 2021 Mar 11.
DOI:	10.5624/isd.20200318
Abstrakt:	Ewing sarcoma in the head and neck is rare, and metastasis from other bones to the mandible accounts for 0.7% of cases. This report presents a case of oral metastasis in a 24-year-old male patient diagnosed with Ewing sarcoma of the femur (p53 gene mutation and EWSR1-ERG fusion). The chief complaint was numbness in the mandible and pain for 1 month and a hardened, ulcerated exophytic lesion in the right retromolar region. Imaging exams revealed an unspecified thinning of the cortical bone of the inferior alveolar canal in the right mandibular ramus, associated with erosion of the alveolar bone. Histopathological analysis confirmed metastasis of Ewing sarcoma. The patient presented an aggressive disease progression and died 1 month after the oral diagnosis. It is important to recognize the signs and symptoms compatible with rare clinical outcomes, leading to an early diagnosis that can improve patients' quality of life and survival. Competing Interests: Conflicts of Interest: None (Copyright © 2021 by Korean Academy of Oral and Maxillofacial Radiology.)
Databáze:	MEDLINE
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