Primary gastric Ewing sarcoma/primitive neuroectodermal tumor

A rare and highly malignant small round cell tumor, Ewing sarcoma/primitive neuroectodermal tumor (ES/PNET) usually occurs in the pelvis, long-axis bones, and femur. In contrast, extraosseous ES is more often found in the paraspinal region, limbs, and retroperitoneum, but is extremely rare in the st...

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Main Authors: Yu Ye, Xiaoming Qiu, Jixin Mei, Dongyun He, Ailing Zou
Format: Article
Language:English
Published: SAGE Publishing 2021-02-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520986681
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author Yu Ye
Xiaoming Qiu
Jixin Mei
Dongyun He
Ailing Zou
author_facet Yu Ye
Xiaoming Qiu
Jixin Mei
Dongyun He
Ailing Zou
author_sort Yu Ye
collection DOAJ
description A rare and highly malignant small round cell tumor, Ewing sarcoma/primitive neuroectodermal tumor (ES/PNET) usually occurs in the pelvis, long-axis bones, and femur. In contrast, extraosseous ES is more often found in the paraspinal region, limbs, and retroperitoneum, but is extremely rare in the stomach. We report a case of a 55-year-old woman who presented with fatigue, fever, and black stool. Preoperative computed tomography (CT) imaging showed a large ulcerative lesion of approximately 5.5 × 5.0 cm in the stomach and irregular thickening of the ulcer wall. Upper endoscopy revealed a large, irregular ulcer in the posterior wall of the stomach. Histopathological examination suggested that the mass with the largest diameter (7.5 cm) was ES. Immunohistochemistry indicated positivity for CD99. Enhanced CT of the whole body was performed but no definite masses were found in other organs, and the patient was diagnosed with primary gastric ES. The patient underwent radical distal gastrectomy with Roux-en-Y gastrojejunostomy, but refused chemoradiotherapy.
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spelling doaj.art-48b74de224ff49de9adbdfa773d59c342022-12-21T17:17:34ZengSAGE PublishingJournal of International Medical Research1473-23002021-02-014910.1177/0300060520986681Primary gastric Ewing sarcoma/primitive neuroectodermal tumorYu YeXiaoming QiuJixin MeiDongyun HeAiling ZouA rare and highly malignant small round cell tumor, Ewing sarcoma/primitive neuroectodermal tumor (ES/PNET) usually occurs in the pelvis, long-axis bones, and femur. In contrast, extraosseous ES is more often found in the paraspinal region, limbs, and retroperitoneum, but is extremely rare in the stomach. We report a case of a 55-year-old woman who presented with fatigue, fever, and black stool. Preoperative computed tomography (CT) imaging showed a large ulcerative lesion of approximately 5.5 × 5.0 cm in the stomach and irregular thickening of the ulcer wall. Upper endoscopy revealed a large, irregular ulcer in the posterior wall of the stomach. Histopathological examination suggested that the mass with the largest diameter (7.5 cm) was ES. Immunohistochemistry indicated positivity for CD99. Enhanced CT of the whole body was performed but no definite masses were found in other organs, and the patient was diagnosed with primary gastric ES. The patient underwent radical distal gastrectomy with Roux-en-Y gastrojejunostomy, but refused chemoradiotherapy.https://doi.org/10.1177/0300060520986681
spellingShingle Yu Ye
Xiaoming Qiu
Jixin Mei
Dongyun He
Ailing Zou
Primary gastric Ewing sarcoma/primitive neuroectodermal tumor
Journal of International Medical Research
title Primary gastric Ewing sarcoma/primitive neuroectodermal tumor
title_full Primary gastric Ewing sarcoma/primitive neuroectodermal tumor
title_fullStr Primary gastric Ewing sarcoma/primitive neuroectodermal tumor
title_full_unstemmed Primary gastric Ewing sarcoma/primitive neuroectodermal tumor
title_short Primary gastric Ewing sarcoma/primitive neuroectodermal tumor
title_sort primary gastric ewing sarcoma primitive neuroectodermal tumor
url https://doi.org/10.1177/0300060520986681
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AT xiaomingqiu primarygastricewingsarcomaprimitiveneuroectodermaltumor
AT jixinmei primarygastricewingsarcomaprimitiveneuroectodermaltumor
AT dongyunhe primarygastricewingsarcomaprimitiveneuroectodermaltumor
AT ailingzou primarygastricewingsarcomaprimitiveneuroectodermaltumor