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Spinal epidural extraskeletal Ewing sarcoma.

E Ozturk1, H Mutlu, G Sonmez

  • 1Department of Radiology, GATA Haydarpasa Teaching Hospital, Egitim Hastanesi, Uskudar, Istanbul, Turkey. drersini@yahoo.com

Journal of Neuroradiology = Journal De Neuroradiologie
|February 24, 2007
PubMed
Summary
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A rare spinal epidural extraskeletal Ewing sarcoma case is presented. This aggressive tumor caused rapid paraplegia in an 18-year-old male, highlighting the need for prompt diagnosis.

Area of Science:

  • Oncology
  • Neurology
  • Radiology

Background:

  • Extraskeletal Ewing sarcoma (EES) is a rare, aggressive bone cancer typically affecting children and young adults.
  • Primary spinal epidural EES is exceptionally uncommon, posing diagnostic challenges.

Observation:

  • An 18-year-old male presented with progressive right shoulder pain over two months.
  • Rapid deterioration occurred, leading to complete paraplegia and urinary retention within two days.
  • Magnetic resonance imaging revealed an extradural mass spanning cervical (C6) to thoracic (T1) levels.

Findings:

  • Histopathologic examination confirmed the diagnosis of extraskeletal Ewing sarcoma.
  • The tumor's extradural location within the spinal canal was a key finding.
  • Radiological features were analyzed for differential diagnosis.

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Implications:

  • This case underscores the importance of considering rare spinal tumors in the differential diagnosis of neurological deficits.
  • Early recognition and accurate imaging are crucial for managing spinal epidural masses.
  • Understanding the radiological presentation aids in differentiating EES from other spinal neoplasms.