Case Report

Ewing’s sarcoma of the mandibular condyle in a young adult: a rare case report

¹ Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka, India
² Department of Oral Medicine & Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka, India
³ Department of Pathology, Kasturba Medical College and Hospital, Manipal Academy of Higher Education, Manipal, Manipal, 576104 Karnataka, India
⁴ Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka, India

^* Correspondence: mathangi.kumar@manipal.edu

Received: 10 December 2021
Accepted: 12 April 2022

Abstract

Introduction: Ewing’s sarcoma is a malignant, small, round, blue-cell tumour with metastatic potential that usually occurs in older children and young adults. Its occurrence in the jawbones is exceedingly rare and even rarer the in mandibular condyle. This case is being reported due to the extreme unique imaging finding of Ewing’s sarcoma arising in the mandible in a young male. Observation: A 22-year-old healthy male presented with a complaint of a progressive swelling in his right preauricular region. Magnetic resonance imaging showed a hyperintense lesion with the right ramus with loss of fat planes. True cut biopsy and histopathological examination of the lesion was suggestive of Ewing’s Sarcoma. Immunohistochemical analysis confirmed the diagnosis. Discussion: The most common presenting symptom of Ewing’s sarcoma in the head and neck region is a rapidly growing expansile mass along with pain, paraesthesia, and visual disturbances often mimicking odontogenic infections. Higher imaging modalities play a major role in the evaluation of the extent of the lesion and diagnosis. Conclusion: Prompt and pertinent treatment planning is critical for appropriate and timely management.