A 15 years old boy reports with a rapidly growing swelling of the mandible with intermittent pain patient history is that the swelling occurred after an episode of trauma Radiographs reveal formation of new subperiosteal bone producing Onion skin appearance The patient also has lip paresthesia elevated white blood cell count Based on the clinical and radiographic picture, one of the following condition could be considered in the provisional diagnosis_________________?
Correct answer: D. Ewing's sarcoma
- A. Fracture of the jaw with cancellous bone formation
- B. Chronic suppurative osteomyelitis
- C. Burkitt's Lymphoma
- D. Ewing's sarcoma
Explanation
Ewing sarcoma commonly affects children and adolescents and may produce rapid swelling, pain, paresthesia, leukocytosis, and an onion-skin periosteal reaction. Trauma may draw attention to the lesion but is not its cause.
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