An unusual case of Ewing’s Sarcoma of Cervical Spine

Ewing’s Sarcoma (EWS), is a member of the Ewing sarcoma family of tumours (ESFT); a group of small round blue cell neoplasms. It arises frequently from long bones but its origin from non-sacral spine is to a great degree uncommon, representing only 0.9% of all the cases with amazingly rare associati...

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Main Authors: Adil Aziz Khan, Sehrish Nadeem, Iqra Kanwal, Sameer Raja
Format: Article
Language:English
Published: Rawalpindi Medical University 2019-02-01
Series:Journal of Rawalpindi Medical College
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/1040
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author Adil Aziz Khan
Sehrish Nadeem
Iqra Kanwal
Sameer Raja
author_facet Adil Aziz Khan
Sehrish Nadeem
Iqra Kanwal
Sameer Raja
author_sort Adil Aziz Khan
collection DOAJ
description Ewing’s Sarcoma (EWS), is a member of the Ewing sarcoma family of tumours (ESFT); a group of small round blue cell neoplasms. It arises frequently from long bones but its origin from non-sacral spine is to a great degree uncommon, representing only 0.9% of all the cases with amazingly rare association of cervical spine.1,2 Its peak incidence is in the second decade of life with slight male predominance.2 Local pain, the most common symptom, is followed by a palpable swelling. Neurological deficit produced by spinal cord compression is often a delayed presentation.1 Adequate multimodality treatment, comprising of surgery, chemotherapy and radiotherapy, is aimed for cure rather than palliation whenever possible.3 To date, the number of reported cases of EWS with primary localization in lumbar and cervical segments of the spine remains small, with cervical spine being reported extremely rarely. This is also one of the reasons why there are still several concerns about the optimal treatment.4,5 We report this rare lesion in a 16 years old male who presented with a progressively increasing posterior cervical swelling, local pain and dysphagia to solids.
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spelling doaj.art-f2c84b4af3954f77bc9afab88b6a05eb2022-12-22T01:52:11ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702019-02-0123S-1An unusual case of Ewing’s Sarcoma of Cervical SpineAdil Aziz Khan0Sehrish Nadeem1Iqra Kanwal2Sameer Raja3Senior Registrar, Department of Neurosurgery, Holy Family Hospital, RawalpindiFinal Year Medical Students, Rawalpindi Medical College, RawalpindiFinal Year Medical Students, Rawalpindi Medical College, RawalpindiPostgraduate Trainee, Department of Emergency Medicine, Shifa International Hospital, IslamabadEwing’s Sarcoma (EWS), is a member of the Ewing sarcoma family of tumours (ESFT); a group of small round blue cell neoplasms. It arises frequently from long bones but its origin from non-sacral spine is to a great degree uncommon, representing only 0.9% of all the cases with amazingly rare association of cervical spine.1,2 Its peak incidence is in the second decade of life with slight male predominance.2 Local pain, the most common symptom, is followed by a palpable swelling. Neurological deficit produced by spinal cord compression is often a delayed presentation.1 Adequate multimodality treatment, comprising of surgery, chemotherapy and radiotherapy, is aimed for cure rather than palliation whenever possible.3 To date, the number of reported cases of EWS with primary localization in lumbar and cervical segments of the spine remains small, with cervical spine being reported extremely rarely. This is also one of the reasons why there are still several concerns about the optimal treatment.4,5 We report this rare lesion in a 16 years old male who presented with a progressively increasing posterior cervical swelling, local pain and dysphagia to solids.https://www.journalrmc.com/index.php/JRMC/article/view/1040
spellingShingle Adil Aziz Khan
Sehrish Nadeem
Iqra Kanwal
Sameer Raja
An unusual case of Ewing’s Sarcoma of Cervical Spine
Journal of Rawalpindi Medical College
title An unusual case of Ewing’s Sarcoma of Cervical Spine
title_full An unusual case of Ewing’s Sarcoma of Cervical Spine
title_fullStr An unusual case of Ewing’s Sarcoma of Cervical Spine
title_full_unstemmed An unusual case of Ewing’s Sarcoma of Cervical Spine
title_short An unusual case of Ewing’s Sarcoma of Cervical Spine
title_sort unusual case of ewing s sarcoma of cervical spine
url https://www.journalrmc.com/index.php/JRMC/article/view/1040
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