A thirteen-year-old boy with Ewings sarcoma was presented.
The treatment was considerably delayed because of the initial
diagnostic difficulties due to its insidious presentation and
the unwillingness of the childs parents to further investigations
and treatment. During a three-year delay, the tumor
turned out to be a gross painful mass from a painless lesion.
Cranial computed tomography and magnetic resonance
imaging with contrast showed a destructive lesion extensively
involving the right mandible and the skull base, with invasion
to the intracranial space. Facial and intratemporal portions
of the mass were removed totally, but the intracranial
extension could not be totally excised because of cavernous
sinus involvement. Histologic and immunohistochemical findings
were consistent with the diagnosis of Ewings sarcoma.
The patient received systemic chemotherapy and radiotherapy
following surgery. A month after radiation therapy, radiologic
investigations showed a lung mass suggestive of metastasis.
He died two days after hospitalization, from an intracranial
hemorrhage associated with the intracranial mass.
FREE FULL TEXTAnahtar Kelimeler: Çocuk; kombine tedavi; baş-boyun neoplazileri;prognoz; sarkom, Ewing/tanı/cerrahi/radyoterapi/kemoterapi.