Large extraskeletal ewing sarcoma of the hand: A rare entity

Saran, Sonal; Kharbanda, Annu; Malik, Sunil

doi:10.4103/aam.aam_55_18

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Calcification in the mass is identified only in 25% of the cases. MRI helps to evaluate the extent and internal characteristics of the tumor and its relation with the neurovascular bundle [5]. The areas of hemorrhage within the tumor show different signal intensities depending on the stage of the degradation of blood products.…”

Section: Discussionmentioning

confidence: 99%

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Extraosseus Ewing's Sarcoma of the Forearm

Bansal

Prasad

Shahi

et al. 2020

Cureus

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A 22-year-old female presented with painful, progressive swelling of the right forearm for six months. Physical examination revealed a 7 cm x 5 cm firm, tender soft-tissue swelling over the anterior aspect of the right proximal forearm with normal overlying temperature. Xrays showed increased soft tissue shadow but without any bony involvement. Serum alkaline phosphatase, serum lactate dehydrogenase, and leukocyte count were raised. MRI of the right forearm revealed enhancing soft tissue lesion with internal hemorrhagic and necrotic components involving the flexor carpi radialis muscle. Core biopsy confirmed the diagnosis of extraosseus Ewing's sarcoma. Neoadjuvant chemotherapy, wide local tumor excision, and adjuvant chemotherapy and radiotherapy were done. The patient then lost to follow-up and presented again after six months with a fungating mass and neurovascular involvement for which an above-elbow amputation was done. We, through this case report, aim to discuss the clinical and radiological findings, line of management, and the importance of early detection and treatment and a regular follow-up for extraosseus Ewing's sarcoma of the extremity.

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Section: Discussionmentioning

confidence: 99%

“…Diagnosis in the early stages and prompt treatment are necessary to prevent the regional and distant spread of EES [5]. Neoadjuvant chemotherapy followed by aggressive surgical excision followed with or without RT is the preferred treatment.…”

Section: Discussionmentioning

confidence: 99%

Extraosseus Ewing's Sarcoma of the Forearm

Bansal

Prasad

Shahi

et al. 2020

Cureus

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“…A small review suggests that Ewing’s sarcoma of the hand most commonly involves the proximal phalanx of either the thumb or third digit [ 3 ]. Fatty tissue involvement at the exclusion of bone or muscle is even less likely [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Up to 20% of these cancers may present in soft tissues with reports detailing involvement of almost every major organ [1,2]. Ewing's sarcoma of the hand is extremely rare with less than 25 cases reported to date [3][4][5][6][7][8][9][10][11][12]. A small review suggests that Ewing's sarcoma of the hand most commonly involves the proximal phalanx of either the thumb or third digit [3].…”

Section: Introductionmentioning

confidence: 99%

Ewing’s Sarcoma of the Hand: An Unusual Presentation in a Young Hispanic Male

McBee,

Bentley,

Toledanes

2023

Cureus

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Ewing’s sarcoma is a neuroectodermal malignancy classically associated with innocuous and chronic symptomatology. Although tumors typically involve the axial skeleton, some malignancies may be confined to extraosseous tissue only. This report presents the case of a 15-year-old Hispanic male with a tender, slow-growing mass of seven months in the subcutaneous tissue of the right hand. Core needle biopsy and fine needle aspiration confirmed the diagnosis of high-grade extraosseous Ewing’s sarcoma and the patient was treated via surgical resection and chemotherapy. Nonspecific findings of Ewing’s sarcoma may mimic infection or trauma and contribute to a delay in diagnosis. However, social and economic influences including limited English proficiency and insurance status also critically affect the timing of presentation.

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