Jairamdas Nagpal Deepak Kumar, Prabhu Prashant Ramesh, Palaskar Sangeeta Jayant, Patil Swati
Department of Oral Pathology and Microbiology, Sinhgad Dental Collge and Hospital, Pune, Maharashtra, India.
J Oral Maxillofac Pathol. 2014 May;18(2):251-5. doi: 10.4103/0973-029X.140769.
Ewing's sarcoma is uncommon malignancy of childhood, frequently involving the mandible. The occurrence in maxilla is rare. It is histopathologically characterized by sheets of round cells positive for CD99. Although the prognosis is poor but early diagnosis and long term follow up can improve the survival. This article presents a rare case of Ewing's sarcoma of maxilla in a 15 year old male patient showing excessive fibro-osseous response which is not a frequent presentation. A retrospective analysis of cases of Ewings sarcoma of maxilla published in the English litreture is reviewed. In our case, diagnosis was confirmed by immunohistochemistry where sheets of round tumor cells were positive for CD 99. Ewings sarcoma of maxilla is a rare and aggressive tumor. Hence early diagnosis, combined therapy and long term follow up is suggested in such cases.
尤因肉瘤是儿童期罕见的恶性肿瘤,常累及下颌骨。发生在上颌骨的情况罕见。其组织病理学特征为成片的CD99阳性圆形细胞。尽管预后较差,但早期诊断和长期随访可提高生存率。本文报告了一例15岁男性上颌骨尤因肉瘤的罕见病例,该病例显示出过度的纤维骨反应,这并非常见表现。对英文文献中发表的上颌骨尤因肉瘤病例进行了回顾性分析。在我们的病例中,免疫组化证实了诊断,成片的圆形肿瘤细胞CD99呈阳性。上颌骨尤因肉瘤是一种罕见且侵袭性强的肿瘤。因此,对于此类病例建议早期诊断、联合治疗和长期随访。