Posterior fossa primary intracranial extraosseous Ewing’s sarcoma: case report

Autor: Shariq Ahmad Shah, Bheru Dan Charan, Sushant Agarwal, Sumanta Das, Pankaj Kumar Singh, Leve Joseph Devaranjan Sebastian, Ajay Garg
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: The Egyptian Journal of Radiology and Nuclear Medicine, Vol 55, Iss 1, Pp 1-5 (2024)
Druh dokumentu: article
ISSN: 2090-4762
DOI: 10.1186/s43055-024-01268-1
Popis: Abstract Background Primary intracranial Ewing’s sarcoma (ES) is a type of primitive neuroectodermal tumour and is a rare malignant tumour in children and adolescents. The imaging features of ES overlap with other central nervous system embryonal tumours, making it difficult to pinpoint a specific diagnosis. We aim to explore the clinical, neuroimaging and differential diagnoses of this entity. Case presentation We describe a 6-month-old infant who presented with complaints of enlarging the head size and poor feeding. Imaging revealed a contrast-enhancing large solid-cystic mass lesion with internal calcification, focal bone erosion and haemorrhage in the posterior fossa. Histopathological examinations, immunohistochemistry, and molecular analysis confirmed ES. Conclusions The confirmative diagnosis of primary intracranial ES requires histological examination, immunohistochemical analysis, and genetic detection, along with radiological findings. Surgical excision followed by combined radiotherapy and chemotherapy is the treatment of choice.
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