Ewing's sarcoma presenting as a cervical intradural extramedullary tumor in a 42 year old: Report of a case

Autor: Mahlon D. Johnson, David N. Korones, Hazrati L-N, Kevin Walter, Ali Hussain
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 20, Iss , Pp - (2020)
Druh dokumentu: article
ISSN: 2214-7519
DOI: 10.1016/j.inat.2019.100634
Popis: The development of Ewing's sarcoma (ES) as an intradural, extramedullary cervical spinal cord tumor is uncommon. It is particularly rare in a middle-aged adult. We describe the clinical, pathological and genetic features in a 42 year old male with a 3 month history of arm weakness. MRI of the cervical spine with and without contrast revealed an intradural, extra-axial enhancing lesion involving the spinal canal from the foramen magnum to the level of C4. Partial surgical resection revealed a malignant neuroepithelial tumor. Genetic analysis identified a EWSRA-FLI1 (exon 7-exon 6) fusion, transcript suggesting classification as a Ewing's sarcoma/primitive neuroectodermal tumor. The case highlights the variability in the presentation of ES and value of genetic testing in atypical “blue cell” tumors. Keywords: Ewing's sarcoma, Cervical spinal cord, Adult, Genetics
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