scholarly journals Peronea Magna Artery Challenging Proximal Fibula Resection of Ewing’s Sarcoma, Report of a Case

2021 ◽  
pp. 1-4
Author(s):  
Fares Uddin ◽  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Surgical Resection ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Vascular Anatomy ◽  
Vascular Anomaly ◽  
Popliteal Fossa ◽  
Peroneal Artery ◽  
Proximal Fibula ◽  
Structural Bone Graft

Surgical resection of the fibula is commonly done for either to obtain structural bone graft or to respect the fibula if involved by bone tumor. The vascular anatomy around the popliteal fossa is complex and has to be studied prior to any attempt of surgical resection. We present a case of 11 years old female patient who was diagnosed as a Ewing’s sarcoma of the fibula and her pre-operative CT angiography showed a vascular anomaly of Peronea magna artery. Following adjuvant chemotherapy, the patient was treated by wide local resection and the surgical procedure has to be modified in order to save the dominant peroneal artery the vascularity of the limb.

Role of surgical resection in pelvic Ewing's sarcoma.

1995 ◽  
Vol 13 (9) ◽  
pp. 2336-2341 ◽  
Author(s):  
S P Scully ◽  
H T Temple ◽  
R J O'Keefe ◽  
M T Scarborough ◽  
H J Mankin ◽  
...  
Keyword(s):  
Overall Survival ◽  
Radiation Therapy ◽  
Disease Control ◽  
Surgical Resection ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Disease Free Survival ◽  
Local Disease ◽  
Local Disease Control

PURPOSE The improved survival in patients with Ewing's sarcoma over the past two decades has placed increased importance on achievement of local disease control. Ewing's sarcoma that arises in the pelvis has been recognized to have a worse prognosis than that in the appendicular skeleton, and the role of surgical resection in these cases remains controversial. The current study attempts to identify a benefit to surgical resection in these patients. METHODS We retrospectively examined 39 patients who presented with Ewing's sarcoma in a pelvic location, all of whom were treated systemically with chemotherapy. Twenty patients received radiation only as a means of local control, and 19 underwent resection with or without radiation therapy. The patients were evaluated with end points of disease-free survival and overall survival for a minimum of 24 months and a mean of 58 months. RESULTS There was an even distribution among patients who underwent surgical resection for local control as compared with those who received only radiation therapy with respect to age, site, date of treatment, and stage of disease. Despite uncontrolled biases including tumor size and response to chemotherapy that would be expected to favor patients who undergo resection, surgery in addition to or in substitution for radiation therapy did not result in a statistically significant increase in disease-free survival or overall survival. Local disease control was comparable between those who underwent resection and those who did not: three patients in each group developed a local recurrence. CONCLUSION Currently, morbidity of surgical resection should be weighed against the efficacy and secondary complications of radiation therapy in the decision-making process for local disease control. The issue of whether overall survival and local disease control is improved in patients who undergo surgical resection remains controversial and may require a prospective randomized trial to be answered definitively.

Ewing's sarcoma, adjuvant chemotherapy and pathologic fracture

1978 ◽  
Vol 14 (7) ◽  
pp. 799-803 ◽  
Author(s):  
J.G. Rosenstock ◽  
Patricia Morris Jones ◽  
Dorothy Pearson ◽  
M.K. Palmer
Keyword(s):  
Adjuvant Chemotherapy ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Pathologic Fracture

scholarly journals Primary Adult Renal Ewing's Sarcoma: A Rare Entity

Sarcoma ◽  
2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Ravindra Mukkunda ◽  
Ramachandran Venkitaraman ◽  
Khin Thway ◽  
Toon Min ◽  
Cyril Fisher ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Metastatic Disease ◽  
Radical Nephrectomy ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Disease Free Survival ◽  
Adult Patients ◽  
Free Survival ◽  
Disease Free ◽  
Renal Origin

Background. Ewing's sarcoma of extraskeletal origin is uncommon and that is of primary renal origin in adults are rare. There is no consensus on the optimal management of Ewing's tumors of renal origin.Methods. A retrospective review of the clinical features, treatment, and outcome of adult patients with primary renal extra-skeletal Ewing's sarcoma who were treated at the Royal Marsden hospital from January 1993–December 2007 is reported.Results. Seven adult patients with primary renal Ewing's sarcoma were identified. All four patients with nonmetastatic disease had radical nephrectomy and received adjuvant chemotherapy +/−radiotherapy. Two developed metastatic disease while on adjuvant chemotherapy, and one patient relapsed after 55 months. The three patients with metastatic disease at presentation did not have nephrectomy and were treated with chemotherapy. All three patients had disease progression with a dismal outcome. Only one patient in the whole group is alive and disease free. The median overall survival was 62.8 months, and the median disease-free survival in patients with nonmetastatic disease after combined modality treatment was 30.3 months.Conclusion. Primary adult renal Ewing's sarcoma is an aggressive tumor with a propensity for early metastasis. Radical nephrectomy with adjuvant combination chemotherapy produced the best results but the outlook remained poor with only one patient experiencing long disease-free survival.

Adjuvant chemotherapy in Ewing's sarcoma

1986 ◽  
Vol 32 (2) ◽  
pp. 76-78 ◽  
Author(s):  
S. H. Advani ◽  
D. N. Rao ◽  
K. A. Dinshaw ◽  
C. N. Nair ◽  
R. Gopal ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma

scholarly journals Ewing's sarcoma: Ten-year experience with adjuvant chemotherapy

Cancer ◽  
1981 ◽  
Vol 47 (9) ◽  
pp. 2204-2213 ◽  
Author(s):  
Gerald Rosen ◽  
Brenda Caparros ◽  
Anita Nirenberg ◽  
Ralph C. Marcove ◽  
Andrew G. Huvos ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma
Sign in / Sign up

Export Citation Format

Share Document