[Ewing sarcoma located in the mandible: A case report].

Fiche publication


Date publication

juin 2015

Journal

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie

Auteurs

Membres identifiés du Cancéropôle Est :
Pr CHASTAGNER Pascal


Tous les auteurs :
Hernandez M, Droz D, Mansuy L, Simon E, Chastagner P

Résumé

Ewing sarcoma is the second most common primary malignant bone cancer in children and adolescents. Clinical presentation is usually dominated by local pain and a palpable mass. These symptoms justify imaging investigations: the first one, when an osseous lesion is suspected, is usually a conventional radiograph in two planes. Ewing sarcoma appears as a poorly defined osteolytic lesion that may frequently be associated with cortical erosion or laminar periosteal response ("onion skin"). However, this aspect is not pathognomonic and the definitive diagnosis is made by biopsy. Absence of pain or an unusual localization can lead to misdiagnosis. We report the case of a 7-year-old boy with Ewing sarcoma located in the mandible with a clinical picture including progressive mandibular swelling but no pain.

Mots clés

Child, Humans, Male, Mandibular Neoplasms, diagnosis, Sarcoma, Ewing, diagnosis

Référence

Arch Pediatr. 2015 Jun;22(6):626-9