A typical presentation of a chrondroblastic osteosarcoma of the maxillary antrum and complex management

We report a case of a 23-year old male who presented with a four-week history of unilateral recurrent epistaxis and nasal obstruction. It is subsequently diagnosed as high-grade chondroblastic osteosarcoma of the maxillary antrum. Neo-adjuvant chemotherapy was commenced following a multidisciplinary team discussion. The disease progressed through first-line treatment. A radical surgical resection was not possible and a palliative debulking procedure was performed. The literature comprehensively focuses towards an early surgical resection with suitable margins at the earliest possible stage. This case highlights that osteosarcoma of the maxilla can be challenging to diagnose and manage. Thus, a high index of suspicion and early referral to a head and neck specialist is imperative to improve long-term prognosis in such patients

Author(s): Mohamed Abdulla

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