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Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature

INTRODUCTION: Extraosseous Ewing’s sarcoma (EES) of the head and neck region is a rare occurrence, and Ewing’s sarcoma of the parapharyngeal space is even rarer. To the best of our knowledge, only three cases of EES of the parapharyngeal space have been reported in the literature. CASE REPORT: We re...

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Autores principales: Khosla, Divya, Verma, Shalini, Punia, Rajpal S, Dass, Arjun, Dimri, Kislay, Kaur, Gurbir, Pandey, Awadhesh K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mashhad University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368983/
https://www.ncbi.nlm.nih.gov/pubmed/30783599
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author Khosla, Divya
Verma, Shalini
Punia, Rajpal S
Dass, Arjun
Dimri, Kislay
Kaur, Gurbir
Pandey, Awadhesh K
author_facet Khosla, Divya
Verma, Shalini
Punia, Rajpal S
Dass, Arjun
Dimri, Kislay
Kaur, Gurbir
Pandey, Awadhesh K
author_sort Khosla, Divya
collection PubMed
description INTRODUCTION: Extraosseous Ewing’s sarcoma (EES) of the head and neck region is a rare occurrence, and Ewing’s sarcoma of the parapharyngeal space is even rarer. To the best of our knowledge, only three cases of EES of the parapharyngeal space have been reported in the literature. CASE REPORT: We report a rare case of EES of the parapharyngeal space in an 8-year-old girl. She presented with complaints of earache, difficulty in breathing and swallowing and bleeding from the mouth. Investigations revealed a large parapharyngeal mass causing narrowing of the nasopharyngeal and oropharyngeal airway with skeletal and lung metastasis. Biopsy from the parapharyngeal mass was suggestive of malignant small round cell tumor. The patient was treated with chemotherapy and radiotherapy, but developed brain metastasis and succumbed to disease approximately 1 year after diagnosis. Herein, we describe the characteristic clinicopathological features and treatment with a comprehensive review of the literature. CONCLUSION: EES in this unusual location behaves aggressively, with a high rate of recurrence and distant metastasis. Aggressive multimodal treatment comprising of multi-agent chemotherapy, surgical resection if feasible, and radiotherapy should be considered.
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spelling pubmed-63689832019-02-19 Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature Khosla, Divya Verma, Shalini Punia, Rajpal S Dass, Arjun Dimri, Kislay Kaur, Gurbir Pandey, Awadhesh K Iran J Otorhinolaryngol Case Report INTRODUCTION: Extraosseous Ewing’s sarcoma (EES) of the head and neck region is a rare occurrence, and Ewing’s sarcoma of the parapharyngeal space is even rarer. To the best of our knowledge, only three cases of EES of the parapharyngeal space have been reported in the literature. CASE REPORT: We report a rare case of EES of the parapharyngeal space in an 8-year-old girl. She presented with complaints of earache, difficulty in breathing and swallowing and bleeding from the mouth. Investigations revealed a large parapharyngeal mass causing narrowing of the nasopharyngeal and oropharyngeal airway with skeletal and lung metastasis. Biopsy from the parapharyngeal mass was suggestive of malignant small round cell tumor. The patient was treated with chemotherapy and radiotherapy, but developed brain metastasis and succumbed to disease approximately 1 year after diagnosis. Herein, we describe the characteristic clinicopathological features and treatment with a comprehensive review of the literature. CONCLUSION: EES in this unusual location behaves aggressively, with a high rate of recurrence and distant metastasis. Aggressive multimodal treatment comprising of multi-agent chemotherapy, surgical resection if feasible, and radiotherapy should be considered. Mashhad University of Medical Sciences 2019-01 /pmc/articles/PMC6368983/ /pubmed/30783599 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Khosla, Divya
Verma, Shalini
Punia, Rajpal S
Dass, Arjun
Dimri, Kislay
Kaur, Gurbir
Pandey, Awadhesh K
Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature
title Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature
title_full Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature
title_fullStr Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature
title_full_unstemmed Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature
title_short Extraosseous Ewing’s Sarcoma of the Parapharyngeal Space - A Rare Entity - with Review of Literature
title_sort extraosseous ewing’s sarcoma of the parapharyngeal space - a rare entity - with review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368983/
https://www.ncbi.nlm.nih.gov/pubmed/30783599
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