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LETTER TO THE EDITOR
Year : 2014  |  Volume : 51  |  Issue : 4  |  Page : 564
 

Ewing's sarcoma of the mandibular condyle


1 Department of Oral and Maxillofacial Surgery, Tabriz, University of Medical Sciences, Tehran, IR, Iran
2 Department of Oral and Maxillofacial Surgery, Baqiyatallah Medical Sciences University, Tehran, IR, Iran
3 Department of Oral and Maxillofacial Surgery, Azad University of Medical Sciences, Tehran, IR, Iran

Date of Web Publication1-Feb-2016

Correspondence Address:
Dr. A Neda
Department of Oral and Maxillofacial Surgery, Azad University of Medical Sciences, Tehran, IR
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-509X.175326

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How to cite this article:
Kourosh T T, Hosein K M, Neda A. Ewing's sarcoma of the mandibular condyle. Indian J Cancer 2014;51:564

How to cite this URL:
Kourosh T T, Hosein K M, Neda A. Ewing's sarcoma of the mandibular condyle. Indian J Cancer [serial online] 2014 [cited 2019 Dec 6];51:564. Available from: http://www.indianjcancer.com/text.asp?2014/51/4/564/175326


Sir,

Ewing's sarcoma (ES) is a highly lethal round cell sarcoma of unknown etiology first described by James Ewing in 1921.[1] Nearly 50% of all cases reported are in the femur and pelvic bones. Less than three percent of all cases originate in the jaws usually involving the mandibular ramus with few cases reported involving the maxilla.[1],[2] We report a 12-year follow up of Ewing sarcoma of the condyle in a 17 year-old girl. Clinical examination revealed Pain and swelling over the left side of the mandibular ramus of 10 months duration. The left side of her face was asymmetric, swollen, and tender [Figure 1], [Figure 2], [Figure 3]. The swelling extended from the left mandibular angle to the left preauricular region [Figure 2]. There was slight paresthesia of the region innervated by the left inferior alveolar dental nerve. No palpable lymph nodes were present in the neck or supraclavicular or axillary regions. Transorally, the swelling was noted to involve the left condylar region and was firm when compressed. Radiographic examination revealed a radiolucent lesion with borders extending from the left condyle to the midramus region. She received chemotherapy cyclophosphamide, incrusting, adriomycine for (54 months and radiotherapy 30 fractions of 6000 cG radiation) which began two weeks post tumor surgical resection). We reported this case with no sign of recurrence after 5-year follow -up in 2003. We have checked her annually and we have yet to find any signs and symptoms of tumor recurrence [Figure 4].
Figure 1: The patient in preoperative phase from anterior view

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Figure 2: The patient in preoperative phase from left lateral view

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Figure 3: The patient in preoperative phase from right lateral view

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Figure 4: The 12-year post-op panoramic radiographthe

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  References Top

1.
Talesh KT, Motamedi MH, Jeihounian M. Ewing's Sarcomaof the Mandibular Condyle: Report of a Case. J Oral Maxillofac Surg 2003:61:216-9.  Back to cited text no. 1
    
2.
Solomon LW, Frustino JL, Loree TR, Brecher ML, Alberico RA, Sullivan M. Ewing sarcoma of the mandibular condyle: Multidisciplinary management optimizes outcome. Head Neck 2008:405-10.  Back to cited text no. 2
    


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