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Background. Radiation-induced sarcomas are well-known potential late sequelae of radiation therapy. They are of rare occurrence in jaw bones and are even rarer in the maxilla. Case report. We report a case of radiation-induced osteosarcoma involving the maxilla in a patient treated with radiotherapy for nasopharyngeal carcinoma 14 years ago. Despite neoadjuvant chemotherapy, surgical treatment could not be performed, and the patient received palliative chemotherapy. Conclusions. Radiation-induced osteosarcomas are aggressive and often elude early detection and timely intervention, rapidly leading to early demise of afflicted patients. Long-term patient follow-up and a high index of suspicion are crucial for timely intervention.

作者:Imene, Chabchoub;Olfa, Gharbi;Sami, Remadi;Sami, Limem;Amel, Trabelsi;Makrem, Hochlef;Leila, Ben Fatma;Amel, Landolsi;Moncef, Mokni;Chekib, Kraiem;Slim, Ben Ahmed

来源:Journal of oncology 2009 年 2009卷

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作者:
Imene, Chabchoub;Olfa, Gharbi;Sami, Remadi;Sami, Limem;Amel, Trabelsi;Makrem, Hochlef;Leila, Ben Fatma;Amel, Landolsi;Moncef, Mokni;Chekib, Kraiem;Slim, Ben Ahmed
来源:
Journal of oncology 2009 年 2009卷
Background. Radiation-induced sarcomas are well-known potential late sequelae of radiation therapy. They are of rare occurrence in jaw bones and are even rarer in the maxilla. Case report. We report a case of radiation-induced osteosarcoma involving the maxilla in a patient treated with radiotherapy for nasopharyngeal carcinoma 14 years ago. Despite neoadjuvant chemotherapy, surgical treatment could not be performed, and the patient received palliative chemotherapy. Conclusions. Radiation-induced osteosarcomas are aggressive and often elude early detection and timely intervention, rapidly leading to early demise of afflicted patients. Long-term patient follow-up and a high index of suspicion are crucial for timely intervention.