Interdisciplinary approach to the management of Ewing sarcoma: a case report

ABSTRACT Ewing sarcoma is a common primary bone malignancy occurring in childhood and adolescence. This case report describes a 4‐year‐old female patient who had Ewing sarcoma in the left clavicular region. The patient underwent total excision of the left clavicle and subsequently developed periodon...

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Published in:Special care in dentistry 2012-11, Vol.32 (6), p.265-269
Main Authors: Gomes, Mônica Fernandes, Martins, Luana Galvão, Alves, Mônica Ghislaine Oliveira, de Morais Gouvêa Lima, Gabriela, de Cássia Araújo Rocha, Rita, das Graças Vilela Goulart, Maria
Format: Article
Language:English
Subjects:
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Bacterial Load
Bone cancer
Bone Neoplasms - surgery
caries risk test
Cariostatic Agents - therapeutic use
Chemotherapy
Child, Preschool
Clavicle - surgery
Dental caries
Dental Caries - etiology
Dental Caries Susceptibility
Dental Plaque - microbiology
Dentistry
Ewing sarcoma
Female
Fluorides, Topical - therapeutic use
Follow-Up Studies
Humans
interdisciplinary approach
Lactobacillus - isolation & purification
Oral Hygiene - education
Patient Care Team
Patient Education as Topic - methods
Periodontitis - etiology
Risk Assessment
Saliva - secretion
salivary flow rate
Sarcoma, Ewing - secondary
Sarcoma, Ewing - surgery
Secretory Rate - physiology
Streptococcus mutans - isolation & purification
Xerostomia - etiology
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Summary:ABSTRACT Ewing sarcoma is a common primary bone malignancy occurring in childhood and adolescence. This case report describes a 4‐year‐old female patient who had Ewing sarcoma in the left clavicular region. The patient underwent total excision of the left clavicle and subsequently developed periodontitis and multiple carious lesions after chemotherapy. Caries risk and salivary flow rate tests were performed, followed by periodontal treatment, topical fluoride application, restoration of caries, and oral hygiene instruction. The care of this patient demonstrates that an interdisciplinary approach is essential to eliminate all foci of infection, minimize morbidity, and improve the patient's general health before, during, and after oncological treatment.
ISSN:0275-1879
1754-4505
DOI:10.1111/j.1754-4505.2012.00282.x