A Case of Osteogenic Sarcoma with Long-term Survival

Abstract

A rare case of osteogenic sarcoma of the upper jaw is reported. A 51-year-old woman with swelling of the left cheek visited our hospital in 1982. She had received. radiation therapy from 1943 to 1945 because of a leftcheek mass of unknown eti- ology. The mass began to grow rapidly when she was eighteen years old and she underwent wide excision of tumor and radiation therapy in some hospital. The histological diagnosis of tumor was osteogenic sarcoma. Since then, the local region was well controlled. However, her left cheek gradually began to swell again when she was 44 years old.Despite chemotherapy, the cheek tumor enlarged and her condition deteriorated gradually. She died of central respiratory insufficiency due to intracranial tumor invasion. Autopsy showed a large osteogenic sarcoma of the left upper jaw with invasion to bilateral parapharyngeal spaces, ethmoid sinuses, orbital spaces and intracranial space.