Osteosarcoma of the Sacrum

“An unusual presentation of a sacral Ewing's sarcoma in a young Syrian female”

“…ES affects individuals among the first two decades and this is consistent with our case. In contrast with our case, ES has a predilection for the male sex with a male-to-female ratio of 1.3–1.5:1 [ 1 , 3 ].…”

“…Ewing's sarcoma (ES) was first mentioned in 1921 by James Ewing, it is considered the second most common primary bone sarcoma after osteosarcoma [ 1 , 3 ]. It comprises 3,5–5% of the entire bone sarcomas – 3 per million in children-; with a predominance among Caucasians.…”

“…Nevertheless, it is still a rare tumor especially in the spine, this is what encouraged us to report this case. It can be divided into sacral and non-sacral according to its response to treatment and survival rates [ 1 , 4 ]. ES affects individuals among the first two decades and this is consistent with our case.…”

“…It usually occurs in children and young adults. It can be divided into sacral and non-sacral according to its response to treatment and survival rate [ 1 , 2 ]. Diagnosis of sacral Ewing's sarcoma is quite challenging, so it oftentimes delays, as patients usually ignore their symptoms until they get worse.…”

“…Diagnosis of sacral Ewing's sarcoma is quite challenging, so it oftentimes delays, as patients usually ignore their symptoms until they get worse. Consequently, this tumor usually increases in size and may reach the pelvic region, causing anatomical sabotages as well as neurological damages that may lead to paralysis of lower extremities [ 1 , 2 ]. Treatment depends on the combination of surgical resection and radio/chemo therapy to improve the prognosis [ 1 , 2 ].…”