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Ewing's sarcoma of the masseter muscle

Published online by Cambridge University Press:  31 May 2011

H A Osborn ,
B Wehrli ,
J H Franklin  and
K Fung
H A Osborn
Affiliation:
Schulich School of Medicine, University of Western Ontario, London, Canada
B Wehrli
Affiliation:
Department of Pathology, London Health Sciences Centre, Ontario, Canada
J H Franklin
Affiliation:
Department of Otolaryngology, London Health Sciences Centre, Ontario, Canada
K Fung*
Affiliation:
Department of Otolaryngology, London Health Sciences Centre, Ontario, Canada
*
Address for correspondence: Dr. Kevin Fung, Department of Otolaryngology – Head and Neck Surgery, London Health Sciences Centre – Victoria Hospital, 800 Commissioners Road East London, Ontario, CanadaN6A 5W9 E-mail: Kevin.fung@lhsc.on.ca
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Abstract

Objective:

To present a case of extraskeletal Ewing's sarcoma originating in the masseter muscle, and to review the diagnosis and management of these rare tumours.

Methods:

Case report and literature review.

Results:

We report a patient with Ewing's sarcoma of the masseter muscle with mandibular invasion. She was treated with induction chemotherapy, salvage surgery and free flap reconstruction.

Conclusion:

This case highlights the management of these rare tumours. Aggressive multi-modal treatment, including multi-agent chemotherapy, surgical resection and irradiation, appears to offer the best prognosis. Contemporary reconstructive techniques can restore function and form in cases with challenging defects.

Keywords

Sarcoma, Ewing'sPathologyHead And Neck Neoplasms, SurgeryMasseter MuscleCombined Modality Treatment
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 9 , September 2011 , pp. 978 - 981
Copyright
Copyright © JLO (1984) Limited 2011

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