Second osteosarcoma of mandible after rhabdomyosarcoma of the cheek

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Presentation transcript:

Second osteosarcoma of mandible after rhabdomyosarcoma of the cheek Serhan Küpeli, Ali Varan, Canan Akyüz, Mustafa Cengiz, Kader Karlı Oğuz, Gökhan Gedikoğlu, Münevver Büyükpamukçu  International Journal of Pediatric Otorhinolaryngology Extra  Volume 6, Issue 1, Pages 42-44 (January 2011) DOI: 10.1016/j.pedex.2010.02.001 Copyright © 2010 Elsevier Ireland Ltd Terms and Conditions

Fig. 1 (A) Axial postcontrast CT study shows a huge homogenous soft tissue mass in the left cheek. (B) At 3 months follow-up imaging following six courses of chemotherapy a residual soft tissue mass of about 1.5cm in diameter is seen. International Journal of Pediatric Otorhinolaryngology Extra 2011 6, 42-44DOI: (10.1016/j.pedex.2010.02.001) Copyright © 2010 Elsevier Ireland Ltd Terms and Conditions

Fig. 2 (A) Axial postcontrast CT scan at 22 months of diagnosis of rhabdomyosarcoma seen on Fig. 1A shows a new separate mass centered around the mandible with destruction and new bone formation is seen. (B) On MR imaging, the mass enhances with Gadolinium profoundly and involvement of ipsilateral masticator muscles and parotid gland is seen. International Journal of Pediatric Otorhinolaryngology Extra 2011 6, 42-44DOI: (10.1016/j.pedex.2010.02.001) Copyright © 2010 Elsevier Ireland Ltd Terms and Conditions

Fig. 3 Osteoid production and pleomorphic neoplastic cells, H+E (460×). International Journal of Pediatric Otorhinolaryngology Extra 2011 6, 42-44DOI: (10.1016/j.pedex.2010.02.001) Copyright © 2010 Elsevier Ireland Ltd Terms and Conditions