A Rare Case of Ewing’s Sarcomain the Mandible of A 22-Month-Old Child: A Case Report and Review of The Literature_Open Access Journal of Dentistry & Oral Health

JUNIPER PUBLISHERS- OPEN ACCESS JOURNAL OF DENTISTRY & ORAL HEALTH

A Rare Case of Ewing’s Sarcomain the Mandible of A 22-Month-Old Child: A Case Report and Review of The Literature

Authored by Fahd Alrowily

Abstract
Ewing’s sarcoma (ES) is a highly lethal round cell sarcoma, thought to be of neuroectodermal origin, first described by James Ewing in 1921. ES occurs most often in younger patients, with 90% between the ages of 5 and 30 years, and affects males in more than 60% of cases. Nearly 50% of all reported cases of ES occur in the femur and pelvic bones. Of the fewer than 3% of all cases that occur in the jaws, the majority involve the mandibular ramus, with a few cases reported in the maxilla. Rapid growth and propensity for metastasis are dominant features of this malignant bone tumor. Thus, the possibility exists that jaw involvement may represent metastasis from another skeletal site. When ES involves the jaws, there may be facial deformity, destruction of alveolar bone, loosening of the teeth, mucosal ulceration, or soft tissue penetration. Pain, swelling, and sensory disturbances may be associated findings. Fever, leukocytosis, and an elevated erythrocyte sedimentation rate may also be present and lead to an erroneous diagnosis of osteomyelitis. We report a rare case of ES, occurring in the mandibular symphesis of a 22-month-old boy, to add to the body of literature on the subject.

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