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Intradural Extramedullary Ewing Sarcoma in an Adolescent Female
Mikkel Kunwald1, Christian Lund Straszek2,3,4, Carsten Reidies Bjarkam1
1Department of Neurosurgery, Aalborg University Hospital, Aalborg, Denmark.
A rare pediatric spinal Ewing sarcoma was diagnosed in a 15-year-old female presenting with lumbar pain. Complete surgical resection followed by oncological treatment led to a positive outcome with no long-term sequelae besides hypogonadism.
Area of Science:
- Pediatric Oncology
- Neurosurgery
- Orthopedic Oncology
Background:
- Intradural extramedullary spinal tumors are rare in adolescents.
- Ewing sarcoma is an aggressive bone cancer typically affecting children and young adults.
Observation:
- A 15-year-old female presented with persistent lumbar pain unresponsive to analgesics.
- Magnetic resonance imaging revealed an intradural extramedullary tumor at L3.
- Histopathology confirmed Ewing sarcoma with EWSR1 gene identification.
Findings:
- Complete tumor resection was achieved via neurosurgery.
- The patient received adjuvant photon irradiation therapy and chemotherapy.
- Post-treatment follow-up at 36 months shows a positive prognosis.
Implications:
- This case highlights the importance of considering rare spinal tumors in adolescent lumbar pain.
- Multidisciplinary treatment, including surgery and oncological therapies, is crucial for managing spinal Ewing sarcoma.
- Long-term surveillance is necessary to monitor for potential sequelae such as hypogonadism.
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