[Surgical Treatment of Ewing's sarcoma (author's transl)]

Radical tumor surgery for Ewing's sarcoma implies the complete removal of the tumor bearing bone. Ablative surgery can be considered in some cases e.g. distal lower extremity tumors in growing children. Resection often leads to poor functional results when the whole tumor bearing bone is removed. The poor function can be improved with the use of custom made endoprosthesis. The resection of the tumor bulk with postsurgical radiation might be an alternative approach with optimal function and minimal risk for the patient. The importance of biopsy technique is stressed to avoid confusion in the diagnosis and difficulties for definite surgical control.