Juvenile Osteoid Osteoma of the Distal Phalanx of the Second Digit

Osteoid osteomas account for approximately 3% to 10% of primary bone tumors and are found most commonly in the cortical, diaphyseal regions of long tubular bones. These osteoblastic, benign tumors are usually seen in males, in the second to third decade, most often in the long bones of the lower extremity. The literature describes the limited encounters with osteoid osteomas of the pedal digital phalanx, especially in the pediatric population. Here, a case report details a juvenile patient with an osteoid osteoma tumor of the distal phalanx in the right second digit that was treated with complete distal phalanx excision in toto, eliminating the patient's pain and symptoms quickly after surgery. Further the literature is reviewed for other examples of this pathology in the similar clinical setting.

Reabilitação oral conservadora em paciente juvenil com alterações orofaciais secundárias ao tratamento de rabdomiossarcoma em cabeça e pescoço: relato de caso / Conservative oral rehabilitation in a juvenile patient with orofacial alterations secondary to the treatment of rhabdomyosarcoma in the head and neck: case report

Introdução: O tratamento antineoplásico multimodal para tumores em cabeça e pescoço de crianças frequentemente acarreta distúrbios de desenvolvimento em dentes e estruturas faciais. Dentre as alterações observadas estão as anomalias ósseas, agenesias dentárias, microdontia, anomalias de esmalte e, sobretudo, malformações radiculares e coronárias.A frequência e intensidade dessas alterações estão relacionadas com a idade da criança durante o tratamento, a modalidade terapêutica, o tipo de quimioterápico, a dose de radiação e o campo irradiado. Objetivo/Relato de Caso: Este trabalho tem como objetivo descrever o tratamento reabilitador oral conservador, por meio de confecção de prótese total superior do tipo overdenture, em paciente juvenil com severos distúrbios de desenvolvimento dentário e ósseo, consequentes do tratamento de rabdomiossarcoma em nasofaringe realizado aos dois anos de idade. Conclusão: Este relato enfatiza a importância do acompanhamento odontológico regular de pacientes pediátricos irradiados em face, até que o crescimento facial se complete, permitindo a manutenção da função e estética.Palavras Chave: Reabilitação bucal, Pediatria, Rabdomiossarcoma, Face, NasofaringeABSTRACTIntroduction: Multimodal antineoplastic treatment for tumors in the head and neck of children often leads to developmental disorders in teeth and facial structures. Among the alterations observed are bone anomalies, dental agenesis, microdontia, enamel anomalies and, mainly, root and coronary malformations. The frequency and intensity of these changes are related to the age of the child during treatment, the therapeutic modality, the type of chemotherapy, the radiation dose and the irradiated field. Aim/Report Case: This work aims to describe the conservative oral rehabilitation treatment, by means of the construction of a superior overdenture, in a patient with severe dental and bone developmental disorders resulting from the treatment of nasopharyngeal rhabdomyosarcoma performed at two years of age. Conclusion: This report emphasizes the importance of regular dental follow-up of pediatric irradiated patients on the face, until facial growth is complete, allowing maintenance of function and aesthetics.Keywords: Mouth rehabilitation, Pediatrics, Rhabdomyosarcoma, Face, Nasopharynx

Prawo pacjenta małoletniego do informacji medycznej

THE RIGHT OF A JUVENILE PATIENT TO MEDICAL INFORMATIONFirst of all, the right of a juvenile patient to medical information belongs to constitutional rights because it is derived from Article 30 of the Polish Constitution which refers to the inherent and inalienable dignity of a person and a citizen. Pursuant to Article 9 of the Act of 06.11.2008 on Patient’s Rights and the Ombudsman for Patient’s Rights, a patient is entitled to information about his or her health. Furthermore, a patient, including a juvenile one who is at least 16 years old, or his/her statutory representative have a right to receive from a doctor comprehensible information about the patient’s health, diagnosis, suggested and possible diagnostic and treatment methods, predictable consequences of their use or abandonment, results of treatment and prognosis. The binding legal regulations are aimed at ensuring proper communication between a doctor and a patient, which is obviously indispensable for correct progress of medical treatment.