Challenges in diagnosing an extraosseous Ewing sarcoma: A case report
| Autor: | Lina Pankratjevaite, Hassan Ali Eskandarani, Paulius Lizdenis, Zilvinas Saladzinskas |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Introduction Ewing sarcoma is a highly malignant and rare tumour of bones and soft tissue. It may occur at any age, but it is more common in children and teenagers. Case report We report a case of a 56-year-old woman with EES involving the right iliac fossa. Previous abdominal trauma with retroperitoneal hematoma, nonspecific symptoms and unusual age for EES have caused diagnostics difficulties. The first histopathological examination misdiagnosed tumour to be a GIST, and just after the second surgery the accurate diagnosis of EES was made. Conclusions The diagnosis of ES sometimes is complicated and delayed. Prompt detailed examination and imaging studies should be performed to people with long lasting pain without trauma and other nonspecific symptoms, especially followed by a palpable mass. The treatment of EES is multimodal. Highlights • Extraosseous Ewing sarcoma (EES) is a highly malignant and rare tumour. • The diagnosis of EES sometimes is complicated and delayed. • EES though being a rare entity should be kept in the differential of retroperitoneal mass in children and adults. • High index suspicion of EES is advisable when dealing with patients with long lasting pain or haematoma without trauma, and other nonspecific symptoms followed by a palpable mass. • The treatment of EES should be multimodal. However, further studies in this area are needed to develop standardized EES treatment. |
| Databáze: | OpenAIRE |
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