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Case Report

Atypical Presentation of a Maxillary Chondroblastic Osteosarcoma and Complex Management

by
Jayan George
1,*,
Mohamed Abdulla
2,
Amir Farboud
2,
Gareth Leopold
3 and
Conor Marnane
2
1
General Surgical Department, Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, UK
2
ENT Head and Neck surgery department, Morrison Hospital, Swansea SA6 6NL, UK
3
Histopathology department, Morrison Hospital, Swansea SA6 6NL, UK
*
Author to whom correspondence should be addressed.
Reports 2018, 1(3), 23; https://doi.org/10.3390/reports1030023
Submission received: 16 October 2018 / Revised: 7 November 2018 / Accepted: 13 November 2018 / Published: 15 November 2018
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Abstract

We report a rare case of a 23-year-old male who presented with a four-week history of unilateral recurrent epistaxis and nasal obstruction. This was subsequently diagnosed as high-grade chondroblastic osteosarcoma of the maxillary antrum. Neo-adjuvant chemotherapy was commenced following a multidisciplinary team discussion. The disease progressed through first-line treatment. A radical surgical resection was not possible, and a palliative debulking procedure was performed. The literature comprehensively points towards an early surgical resection with suitable margins at the earliest possible stage. This case highlights that osteosarcoma of the maxilla can be challenging to diagnose and manage. Thus, a high index of suspicion and an early referral to a head and neck specialist is imperative to improve the long-term prognosis in such patients.
Keywords: chondrosarcoma; maxilla osteosarcoma; epistaxis chondrosarcoma; maxilla osteosarcoma; epistaxis

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MDPI and ACS Style

George, J.; Abdulla, M.; Farboud, A.; Leopold, G.; Marnane, C. Atypical Presentation of a Maxillary Chondroblastic Osteosarcoma and Complex Management. Reports 2018, 1, 23. https://doi.org/10.3390/reports1030023

AMA Style

George J, Abdulla M, Farboud A, Leopold G, Marnane C. Atypical Presentation of a Maxillary Chondroblastic Osteosarcoma and Complex Management. Reports. 2018; 1(3):23. https://doi.org/10.3390/reports1030023

Chicago/Turabian Style

George, Jayan, Mohamed Abdulla, Amir Farboud, Gareth Leopold, and Conor Marnane. 2018. "Atypical Presentation of a Maxillary Chondroblastic Osteosarcoma and Complex Management" Reports 1, no. 3: 23. https://doi.org/10.3390/reports1030023

APA Style

George, J., Abdulla, M., Farboud, A., Leopold, G., & Marnane, C. (2018). Atypical Presentation of a Maxillary Chondroblastic Osteosarcoma and Complex Management. Reports, 1(3), 23. https://doi.org/10.3390/reports1030023

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