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CT and MR findings in a neuroforaminal extraskeletal Ewing sarcoma mimicking benign nerve sheath tumor
1Department of Radiology, AZ Sint-Lucas Hospital, Ghent, Belgium. serhatavcu@hotmail.com
Introduction:
We report the CT and MR findings in a 30-year-old man with extraskeletal Ewing sarcoma (EES) involving the left neural foramen at L5-S1 level.
Materials And Methods:
The patient was evaluated with preoperative lumbosacral CT and MR imaging and postoperative lumbosacral MR imaging.
Results:
The lesion was hyperdense on CT, isointense on T1- and T2-weighted MR images, and enhanced homogeneously after intravenous gadolinium injection. With these CT and MR findings, surgery was performed with a presumptive diagnosis of nerve sheath tumor, but the histopathological examination revealed EES. Chemotherapy and radiotherapy were planned postoperatively.
Conclusion:
This case illustrates that even in benign looking lesions in a neuroforamen one can never exclude malignancy, and this is even more true in a population of young adults.
