RESUMO
A case of multiosseous osteosarcoma in a 15-year-old girl is presented. Neoplastic foci were initially diagnosed in the right ilium and left mandible. The clinical course was complicated by pregnancy and chemotherapeutic side effects. Postmortem examination revealed multiple tumor emboli in the lungs. The literature concerning metastatic and multicentric origins of multiosseous osteosarcomas is reviewed. The case presented probably represents mandibular metastasis from the ilium.
Assuntos
Neoplasias Ósseas/patologia , Ílio/patologia , Neoplasias Mandibulares/secundário , Osteossarcoma/secundário , Adolescente , Feminino , Humanos , Neoplasias Pulmonares/secundário , Neoplasias Primárias Múltiplas/patologia , GravidezRESUMO
Any patient who has multiple cystic lesions of the jaws should be evaluated for the presence of other signs of nevoid basal cell carcinoma syndrome. The workup should include consultations with specialists in neurology, radiology, dermatology, medical genetics, and any other specialty areas where signs of symptoms may appear. It is not unusual for the oral surgeon to be the first practitioner to see such a patient, because initial complaints often refer to pain and swelling for an infected jaw cyst. The workup of this case and its treatment are typical for a patient with nevoid basal cell carcinoma syndrome.
