
Journal Basic Info
- Impact Factor: 2.395**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Ophthalmic Surgery
- Urology
- Vascular Surgery
- Orthopaedic Surgery
- Gastroenterological Surgery
- Endocrine Surgery
- Plastic Surgery
- Transplant Surgery
Abstract
Citation: Clin Surg. 2018;3(1):2022.Case Report | Open Access
Primary Intramedullary Osteosarcoma of the Maxilla in a Pediatric Patient: A Case Report and Review of the Literature
Ali Amrollahie, Peter T Mai, Jason Portnof and Steven I Kaltman
Department of Oral and Maxillofacial Surgery, Nova Southeastern University College of Dental Medicine, USA
Nova Southeastern University College of Dental Medicine, USA
*Correspondance to: Ali Amrollahie
PDF Full Text DOI: 10.25107/2474-1647.2022
Abstract
Osteosarcomas are the most common malignant neoplasms of bone; mainly found in long bones. However, osteosarcomas can occur anywhere in the body. Osteosarcomas rarely occur in the head and neck and are even more uncommon in the maxilla. Primary osteosarcomas of the maxilla in pediatric patients is extremely uncommon, as head and neck osteosarcomas usually present in the third to fourth decades of life. Head and neck osteosarcomas usually arise secondary to radiation or chemotherapy treatment of a preexisting tumor. In this case report, a lesion was discovered upon routine radiographic and clinical exam in a pediatric dental office. Once the lesion was biopsied and the well differentiated, intramedullary osteosarcoma was confirmed histopathologically, a right hemi-maxillectomy was performed. Virtual surgical planning was based off a medical grade maxillofacial Computed Tomography (CT) scan. In operable cases, surgical resection of the tumor and surrounding tissue is the gold standard of treatment. Virtual planning allows for precise and accurate surgical margins. After the patient’s case was reviewed by the Joe DiMaggio children hospital tumor board, a consensus agreement on treatment planning deferred post-surgical systemic chemotherapy due to possible long-term complications.
Keywords
Cite the article
Amrollahie A, Mai PT, Portnof J, Kaltman SI. Primary Intramedullary Osteosarcoma of the Maxilla in a Pediatric Patient: A Case Report and Review of the Literature. Clin Surg. 2018; 3: 2022.