Ewing and Ewing-like sarcoma are high-grade sarcomas with the histological presence of small round blue cells with a higher propensity for hematogenous metastases. The most common pattern is appendicular skeleton involvement with or without metastases. In this case report, we present a 55-year-old gentleman with Ewing-like sarcoma of the left femur with metastases to rare sites.
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