scholarly journals A Unique Case of Primary Ewing’s Sarcoma of the Cervical Spine in a 53-Year-Old Male: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Marshall T. Holland ◽  
Oliver E. Flouty ◽  
Liesl N. Close ◽  
Chandan G. Reddy ◽  
Matthew A. Howard
Keyword(s):  
Cervical Spine ◽  
Spinal Canal ◽  
Ewing’S Sarcoma ◽  
Treatment Guidelines ◽  
Ewing's Sarcoma ◽  
Histopathological Examination ◽  
Acute Onset ◽  
Rare Presentation ◽  
Low Incidence ◽  
Histopathological Studies

Extraskeletal Ewing’s sarcoma (EES) is a rare presentation, representing only 15% of all primary Ewing’s sarcoma cases. Even more uncommon is EES presenting as a primary focus in the spinal canal. These rapidly growing tumors often present with focal neurological symptoms of myelopathy or radiculopathy. There are no classic characteristic imaging findings and thus the physician must keep a high index of clinical suspicion. Diagnosis can only be definitively made by histopathological studies. In this report, we discuss a primary cervical spine EES in a 53-year-old man who presented with a two-month history of left upper extremity pain and acute onset of weakness. Imaging revealed a cervical spinal canal mass. After undergoing cervical decompression, histopathological examination confirmed a diagnosis of Ewing’s sarcoma. A literature search revealed fewer than 25 reported cases of primary cervical spine EES published in the past 15 years and only one report demonstrating this pathology in a patient older than 30 years of ageage=38. Given the low incidence of this pathology presenting in this age group and the lack of treatment guidelines, each patient’s plan should be considered on a case-by-case basis until further studies are performed to determine optimal evidence based treatment.

scholarly journals A Rare Presentation Of Ewing's Sarcoma Involving Spine With Acute Paraplegia

2018 ◽  
Vol 26 ◽  
pp. 92-97
Author(s):  
Md Anowarul Islam ◽  
Ahmed Asif Iqbal ◽  
Md Qumruzzaman Parvez ◽  
Md Fahad Goni ◽  
Md Masud Rana ◽  
...  
Keyword(s):  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Postoperative Outcome ◽  
Cord Compression ◽  
Acute Onset ◽  
Rare Presentation ◽  
Benign Condition ◽  
Acute Paraplegia ◽  
Primary Bone

Ewing's sarcoma is a primary bone malignancy with the highest incidence in the first decade of life. Although it mostly affects the diaphyseal as well as metaphysical region of growing long bones but involvement of spine is not very uncommon especially the sacrum. Nonsacral spinal Ewing's sarcoma is rarer and often mimics a benign condition before spreading extensively. They present with neurologic deficits due to spinal cord compression, but acute onset paraplegia is very rare.A high index of clinical suspicion can clinch the diagnosis early in the course of the disease. A prompt intervention is required to keep neurological damage to a minimum, and a correct combination of surgery, chemotherapy, and radiotherapy is required for better long-term patient outcome. We report a 15-years old male who presented with acute paraplegia and had an excellent postoperative outcome after posterior decompression of a D 11 Ewing's sarcoma.TAJ 2013; 26: 92-97

Primary nasal cavity Ewing’s sarcoma in pediatric practice: A clinical case

2021 ◽  
Vol 59 (1) ◽  
pp. 39-42
Author(s):  
А. Bekisheva ◽  
A. Makhneva ◽  
E. Satbaeva ◽  
G. Abyov ◽  
M. Remkulova
Keyword(s):  
Nasal Cavity ◽  
Clinical Case ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Histopathological Examination ◽  
Neck Region ◽  
Diagnostic Techniques ◽  
Tumor Type ◽  
Head And Neck Region ◽  
Tumor Remission

Ewing’s sarcoma is an aggressive tumor rarely found in the head and neck region and extremely rare in the nasal cavity or paranasal sinuses (2-3% of all Ewing’s sarcomas). Purpose: The article presents a clinical diagnostic case of nasal cavity Ewing’s sarcoma finally verified only by IHC test. Results: The presented clinical case describes Ewing’s sarcoma of the nasal cavity in a 14-year-old girl and presents the clinical picture, the results of MRI and CT examination of the sinuses, histopathological and IHC tests. Adequate diagnostical tools made it possible to establish a diagnosis. Timely determined treatment tactics, taking into account the tumor localization and possible postoperative complications, led to tumor remission. At present, the patient is under dynamic observation. Conclusion: The presented clinical case confirms that a primary nasal cavity Ewing’s sarcoma diagnostic largely depends on histopathological examination since visual diagnostic techniques do not provide reliable information on the tumor type.

scholarly journals Ewing’s sarcoma of sinonasal tract: a rare case

2020 ◽  
Vol 6 (3) ◽  
pp. 565
Author(s):  
Ankur Gupta ◽  
Ancy S. Sofia ◽  
Kanwar Sen
Keyword(s):  
Multidisciplinary Approach ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Histopathological Examination ◽  
Malignant Tumour ◽  
Rare Entity ◽  
Round Cell ◽  
First Line ◽  
Cytogenetic Studies ◽  
Immunohistochemical Studies

<p class="abstract">Extra skeletal Ewing’s sarcoma (EES) is a rare, rapidly growing, round cell malignant tumour that can develop in the soft tissue at any location. Involvement of the paranasal sinus is a very rare entity. Nearly 80% of patients are younger than 20 years. Diagnosis is made after histopathological examination, immunohistochemical studies and cytogenetic studies. Treatment includes a multidisciplinary approach with surgery as the first line followed by chemotherapy and radiotherapy.</p><p class="abstract"> </p>

scholarly journals Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Maurizio Iacoangeli ◽  
Mauro Dobran ◽  
Alessandro Di Rienzo ◽  
Lucia Giovanna Maria di Somma ◽  
Lorenzo Alvaro ◽  
...  
Keyword(s):  
Adult Patient ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Therapeutic Strategies ◽  
Spine Biomechanics ◽  
En Bloc ◽  
Bloc Spondylectomy ◽  
Low Incidence ◽  
Oncological Result ◽  
Definitive Management

Although the spine is frequently involved in metastatic Ewing's sarcoma, primary involvement of the spine, beside sacrum, is much less frequent, especially in adult patients. Because of the low incidence of these tumors, there are currently no clinical guidelines outlining their management and a multitude of therapeutic strategies have been employed with varying success. The definitive management of Ewing's sarcoma of the spine, as in other locations, could include the combination of three main modalities: aggressive surgery, radiotherapy, and combined chemotherapy. Whenever possible, en bloc spondylectomy or extralesional resection is preferable, providing a better oncological result with a longer survival and a better preservation of the spine biomechanics. This is the lesson we learned about the case, we present here, of nonmetastatic lumbar localization by Ewing’s sarcoma in as adult patient.

scholarly journals A rare case of acute paraplegia: primary Ewing’s Sarcoma of dorsal spine

2018 ◽  
Vol 5 (5) ◽  
pp. 1927
Author(s):  
Yeshwant Kumar N. N. T. ◽  
V. T. T. Rajan
Keyword(s):  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Postoperative Outcome ◽  
Cord Compression ◽  
Acute Onset ◽  
Radical Excision ◽  
Benign Condition ◽  
Acute Paraplegia ◽  
Primary Bone

Ewing's sarcoma is a primary bone malignancy with the highest incidence in the second decade of life. Although it mostly affects the metaphyseal region of long growing bones, involvement of spine is not very uncommon especially the sacrum. Non-sacral spinal Ewing's sarcoma is rarer and often mimics a benign condition before spreading extensively. They present with neurologic deficits due to spinal cord compression, but acute onset paraplegia has not been previously reported. A high index of clinical suspicion can clinch the diagnosis early in the course of the disease. A prompt intervention is required to keep neurological damage to a minimum, and a correct combination of surgery, chemotherapy, and radiotherapy is required for better long-term patient outcome. We report a 11-year-old female who presented with acute paraplegia and had an excellent postoperative outcome after radical excision of a C7-D2 Ewing's sarcoma.

Primary Ewing's Sarcoma of the Orbit: A Rare Presentation

2003 ◽  
Vol 40 (2) ◽  
pp. 101-104 ◽  
Author(s):  
Mandeep S Bajaj ◽  
Neelam Pushker ◽  
Seema Sen ◽  
Mahesh Chandra ◽  
Supriyo Ghose ◽  
...  
Keyword(s):  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Rare Presentation

scholarly journals Ewing's sarcoma of the cervical spine a case report.

1984 ◽  
Vol 33 (1) ◽  
pp. 188-191
Author(s):  
Norio Kin ◽  
Teiji Yano ◽  
Kensei Nagata ◽  
Masanori Nakashima ◽  
Hisao Takagi ◽  
...  
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma

scholarly journals Primary Ewing's Sarcoma of the Spine: Four Case Report

KYAMC Journal ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 164-167
Author(s):  
Md Mofazzal Sharif ◽  
Khaleda Parvin ◽  
Umme Iffat Siddiqua ◽  
A.Q. Mehedi Hassan ◽  
Jabed Hossain ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Cord Compression ◽  
Acute Paraplegia ◽  
Low Incidence ◽  
Specific Symptoms ◽  
Common Malignancy

Ewing's sarcoma is a common malignancy of the bone and soft tissues in pediatric patients. It mostly affects the long bones and pelvis, and less commonly the flat bones and vertebrae. Primary Ewing's sarcoma affecting the spine is very rare. The patient has non-specific symptoms for a prolonged period of time before the correct diagnosis is given. Patients can present with acute paraplegia due to spinal cord compression, which needs prompt surgical intervention. Early diagnosis and treatment are important for neurological recovery. The definitive management includes three main modalities: surgery, radiotherapy and combination chemotherapy. Adequate surgical excision may not be feasible because of anatomical limitations and local control is mainly achieved by radiotherapy. Because of the low incidence of these tumors, a multitude of therapeutic strategies have been employed with varying success. Currently there are no clinical guidelines outlining optimal management KYAMC Journal Vol. 10, No.-3, October 2019, Page 164-167

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