An undiagnosed chronic back pain may come out with severe morbidity in young patient, needs to be evaluated adequately: A case report and review of literature

Abstract

Introduction: there are various possible etiology for chronic back pain and malignancy is one of them. Extraskeletal Ewing's Sarcoma usually involves sacrum while dorsolumbar junction involvement is uncommon. We are reporting a case of Extraskeletal Ewing's Sarcoma with rare presentation related to the age, site of lesion and unusual extension. Case presentation: 35 year old male presented to casualty with urinary retention and paraplegia of sudden onset with history of chronic back pain of 6 months. We investigated him and diagnosed extra skeletal Ewing's Sarcoma of paravertebral origin along D12-L1 spine with intaspinal intadural extension. Patient was given palliative chemo-radiotherapy. Conclusion: Chronic back pain of unknown etiology should be evaluated properly and while making diagnosis possible malignant etiology should be kept in mind even in young patient to prevent undue morbidity and mortality.