Unveiling the Uncommon: A Case of Metastatic Ewing Sarcoma of the Kidney.

Autor: Khudair AD; Department of Urology, Royal College of Surgeons in Ireland - Bahrain, Busaiteen, BHR., Khudair AD; Department of Urology, Royal College of Surgeons in Ireland - Bahrain, Busaiteen, BHR., Al-Rawahia T; Department of Urology, Royal College of Surgeons in Ireland - Bahrain, Busaiteen, BHR., Marshall RA; Department of Urology, Royal College of Surgeons in Ireland - Bahrain, Busaiteen, BHR., Albenjasim K; Department of Urology, King Hamad University Hospital, Busaiteen, BHR., Roohi M; Department of Pathology, King Hamad University Hospital, Busaiteen, BHR., Al Naib Z; Department of Urology, King Hamad University Hospital, Busaiteen, BHR.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jan 26; Vol. 16 (1), pp. e52970. Date of Electronic Publication: 2024 Jan 26 (Print Publication: 2024).
DOI: 10.7759/cureus.52970
Abstrakt: Primary Ewing sarcoma of the kidney (ESK) is a rare and aggressive entity, with a poor prognosis. It often presents as metastatic disease with the lungs being the most common site. In adults, the occurrence of these tumors is uncommon, with patients exhibiting non-specific symptoms such as weight loss, flank pain, hematuria, and an abdominal mass. The combination of these vague clinical symptoms and the rarity of these tumors often results in a delayed diagnosis, leading to poorer outcomes for these patients. We present a case of a 38-year-old female with metastatic ESK. The patient initially presented with abdominal pain, vomiting, and a four-day history of constipation. The diagnosis was confirmed through computed tomography scans, ultrasound-guided biopsy of the lesion, and fluorescence in situ hybridization that revealed translocation of the EWS gene on chromosome 22q12. She was managed with chemotherapy regimens and palliative care; however, the disease progressed and she passed away six months after her initial diagnosis.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Khudair et al.)
Databáze: MEDLINE