Ewing's sarcoma family of tumors (ESFT) is a rare entity of mesenchymal tumors deriving from neural crest tissue with a variable degree of neuroectodermal differentiation and sharing common morphological and cytogenetic aberrations. 1 It includes extraosseous Ewing sarcoma (ES), primitive neuroectodermal tumor (PNET), Askin tumor, and atypical ES. PNETs were recognized for the first time by Arthur Purdy Stout in 1918 2 and constitutes approximately 1% of all sarcomas. ES was first described by James Ewing in 1921. 3 These tumors commonly occur in the young population as the majority of patients are younger than 30 years of age. In adults, ESFT arises in more than 50% of cases in soft tissues (trunk, retroperitoneum, intra-abdominal tissues, and viscera).The primary involvement of the liver is extremely rare, and only 11 cases have been reported. [4][5][6][7][8][9][10][11][12][13][14] These tumors are aggressive, with a high tendency to relapse and metastasize especially in the lungs, bone marrow, brain, and lymph nodes. 15 The present work aims to report a new case on primitive hepatic ES and review all cases of primitive hepatic ES/PNET reported in the literature and describe clinical, radiological, histological, cytogenetical, therapeutic, and prognosis features of this singular tumor site in the different cases.
| CASE REPORTA 26-year-old man presented with paroxysmal right upper quadrant pain and progressive distension of his upper