Case report

Ewing sarcoma of the mandible mimicking an odontogenic abscess – a case report

Martin Gosau¹ , Daniel Baumhoer² , Stefan Ihrler³ , Johannes Kleinheinz⁴ and Oliver Driemel¹

¹  Department of Cranio-Maxillo-Facial Surgery, University of Regensburg, Germany

²  Institute of Pathology, University of Basel, Switzerland

³  Institute of Pathology, University of Munich, Germany

⁴  Department of Cranio-Maxillo-Facial Surgery, University of Münster, Germany

author email corresponding author email

Head & Face Medicine 2008, 4:24doi:10.1186/1746-160X-4-24

Published:	5 November 2008

Abstract

Ewing sarcoma (ES) of the mandible is rare and can be mistaken for inflammation of dental origin. We present a 24-year old male patient which underwent radical tumour surgery and primary reconstruction with a microvascular osteoseptocutaneous free fibular flap as well as postoperative adjuvant chemotherapy. Incomplete osseous tumour resection required a second intervention. This case report recapitulates the clinical and histopathological findings in oral ES, demonstrates its sometimes difficult diagnosis and discusses the (dis-)advantages of primary osseous reconstruction in ablative tumour surgery.