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Extra osseous primary Ewing's sarcoma.

Syed Asad Ali1, Agha Taj Muhammad, Abdul Ghani Soomro

  • 1Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan. sasadalishah@gmail.com

Journal of Ayub Medical College, Abbottabad : JAMC
|February 18, 2012
PubMed
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A rare case of Extra-osseous Ewing's Sarcoma (EES) in the adrenal gland of a 20-year-old male is presented. This unique finding, a primary adrenal EES, has not been previously documented in medical literature.

Area of Science:

  • Oncology
  • Pathology
  • Surgical Oncology

Background:

  • Extra-osseous Ewing's Sarcoma (EES) is a rare malignant bone tumor typically affecting children and young adults.
  • Primary EES in the adrenal gland is exceptionally rare and has not been previously reported in the literature.

Observation:

  • A 20-year-old male presented with symptoms initially suggestive of an adrenal gland tumor.
  • Preoperative imaging indicated an infiltrative malignant tumor of the left suprarenal gland.
  • Surgical excision and subsequent histopathological analysis confirmed the diagnosis of Extra-osseous Ewing's Sarcoma (EES) of the adrenal gland.

Findings:

  • Postoperative investigations, including skeletal scintiscan, bone marrow aspirate, and histopathology, showed no evidence of malignancy elsewhere in the body.

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  • The suprarenal location of this primary EES is considered unique and unprecedented.

    • Implications:

    • This case expands the known anatomical locations for primary EES.
    • Highlights the importance of thorough histopathological examination for accurate diagnosis, especially in rare presentations.
    • Contributes to the understanding of the diverse clinical manifestations of Ewing's Sarcoma family of tumors.