Hyoid Bone Osteosarcoma: Report of A Case and Review of The Literature

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Author Info

Ayala-Ochoa A Luis Pacheco-Ojeda Nicolalde-Pozo F

Corresponding Author

Luis Pacheco-Ojeda
Department of Surgery, Service of Otorhinolaryngology-Head and Neck Surgery, Hospital del Instituto Ecuatoriano de Seguridad Social, Quito, Ecuador

A B S T R A C T

Introduction: Primary lesions of the hyoid bone are exceedingly rare. This report would be the second case of a primary osteosarcoma (OS) of the hyoid bone ever reported. Case report: A 61-year old Ecuadorian woman noted an asymptomatic slowly growing mass in the upper part of neck two months before the first consultation on physical examination, a submental 6-cm, bilobulated, hard, fixed mass, extended to level IIA and the floor of the mouth, was found. Ultrasound, computed tomography and magnetic nuclear imaging reported a tumor probably originated in the hyoid bone. A wide excision, including the hypoglossal nerve, was performed, followed by eight courses of adjuvant chemotherapy, with cisplatin with doxorubicin. Pathological study revealed a high-grade conventional osteogenic sarcoma. No evidence of distant disease was found 2 years and 7 months after initial treatment. Discussion: A review of the literature was performed. Among the largest series of head and neck OS, no case of hyoid bone OS was described. Clinical presentation, imaging studies, surgical management and adjuvant radio and chemotherapy were discussed. Conclusion: A wide local excision of a hyoid bone OS and adjuvant chemotherapy allowed a survival of two and half years after treatment.

Article Info

Article Type

A Case Report and Review of The Literature

Publication history

Received: Mon 11, Mar 2019
Accepted: Thu 02, May 2019
Published: Fri 14, Jun 2019

Copyright

© 2023 Luis Pacheco-Ojeda. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.03.02