Primary Ewing's sarcoma of the cervical vertebra: one case report and literature review

Abstract

Primary Ewing's sarcoma of the cervical vertebra is extremely rare. However, it is very important for radiologists to be aware of it to be able to provide timely diagnosis and therefore orient the treatment planning of the disease. The purpose of this study is to describe the imaging features of this tumor.

Primary Ewing’s sarcoma affecting the central nervous system: a review and proposed prognostic considerations

“…61,62 Patients with extraosseous ES causing spinal cord compression have also been shown to benefit from maximal safe resection followed by adjuvant therapy with a mean survival of 71% for complete resection compared with 25% for partially resected tumors. 63 Although patients with neurological deficit secondary to external spinal cord compression have shown improvement following administration of dexamethasone, palliative radiation and adjuvant chemotherapy, the role of urgent surgical decompression cannot be overemphasized.…”

Ewing's Sarcoma of the Cervical Spine

“…2 The prevalence of vertebral Ewing's sarcoma is approximately 3.5%, with the highest prevalence occurring in the sacral region (55% of the tumors). 3,4 Radiating pain is the most common presenting complaint in patients with spinal tumors. 1,5 Neck pain is a common complaint in the pediatric population.…”

Image-Guided Lateral Mass Osteotomy for En Bloc Resection of Cervical Ewing Sarcoma: A Technical Note

“…However, this is technically challenging in the cervical spine due to the proximity of important neurovascular structures, the complexity of the vertebral anatomy and biomechanical instability of radical resection [1,2]. Only 33 cases of Ewing's sarcoma of the cervical spine have been reported since 1990 with variation in tumour manifestations requiring a tailored surgical approach in each case [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. Consequently, the variability and rarity of the pathology requires ongoing compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine to enable the spinal surgeon alternative options to effectively resect cervical tumour masses.…”