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

Authors

  • Mônica Fernandes Gomes MSc, PhD,

    Corresponding author
    1. Associate Professor, Department of Biosciences and Oral Diagnosis and Chairman, Bioscience Center for Special Health Care Needs, São José dos Campos Dental School – Univ. Estadual Paulista–UNESP
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  • Luana Galvão Martins MSc,

    1. PhD student, Postgraduate Program in Oral Biopathology, São José dos Campos Dental School – Univ. Estadual Paulista – UNESP
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  • Mônica Ghislaine Oliveira Alves MSc,

    1. PhD student, Postgraduate Program in Oral Biopathology, São José dos Campos Dental School – Univ. Estadual Paulista – UNESP
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  • Gabriela de Morais Gouvêa Lima MSc,

    1. PhD student, Postgraduate Program in Oral Biopathology, São José dos Campos Dental School – Univ. Estadual Paulista – UNESP
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  • Rita de Cássia Araújo Rocha,

    1. Master student, Department of Oral Pathology, School of Dentistry, University of São Paulo
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  • Maria das Graças Vilela Goulart MSc, PhD

    1. Researcher, Bioscience Center for Special Health Care Needs, São José dos Campos Dental School – Univ. Estadual Paulista – UNESP, São José dos Campos, São Paulo, Brazil.
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  • Spec Care Dentist 32(6): 265–269, 2012

e-mail: cebape@fosjc.unesp.br

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.

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