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Published on: December 9, 2016
Ewing's sarcoma of rib presenting as pleural effusion in a young child
Pratima Bisen1, Madhura Kavishwar1, Poonam Wade1
1Department of Pediatrics, Topiwala National Medical College and B. Y. L. Nair Ch Hospital, Mumbai, Maharashtra, India.
Insights
A rare pediatric rib tumor, Ewing sarcoma, was diagnosed in a young boy presenting with pneumonia-like symptoms. Multimodal imaging and biopsy confirmed the diagnosis, leading to effective chemotherapy treatment.
Area of Science:
- Pediatric Oncology
- Skeletal Malignancies
- Diagnostic Imaging
Background:
- Ewing sarcoma of the rib is a rare primary bone tumor.
- It presents diagnostic challenges and complex treatment protocols.
- Early diagnosis is crucial for effective management.
Abstract:
Ewing's sarcoma of rib is a rare primary malignant bone tumour which poses diagnostic dilemma and has complex treatment. The diagnosis is based on the combination of clinical, imaging, pathology and immunohistochemistry findings. We here present a case of 3.5 years old male child who presented acutely with the complaints of fever, cough and breathlessness mimicking the diagnosis of pneumonia. Massive right-side pleural effusion was seen on chest radiograph. Further radiological investigation of high-resolution contrast computed tomography (HRCT) and Positron emission tomography (PET) scan along with biopsy and immunohistochemistry lead to the diagnosis of Ewing's sarcoma arising from right rib. Patient was treated with chemotherapy, and there was significant reduction in lesion, along with clinical improvement in symptoms.
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