PDF herunterladen
CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 1068-1071
DOI: 10.4103/ajns.AJNS_138_20
Case Report

Primary spinal epidural extraosseous Ewing's Sarcoma with brachial plexus infiltration

Sarbesh Tiwari
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Taruna Yadav
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Jaya Pamnani
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Kartikeya Shukla
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Meenakshi Rao
1   Department of Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Jaskaran Gosal
2   Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Pawan Garg
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Pushpinder Khera
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

The Ewing's sarcoma family of tumors are aggressive malignant small round blue cell tumors of undifferentiated mesenchymal origin. Skeletal Ewing's sarcoma is a common entity that classically involves the diaphysis of the long bones, pelvis, ribs, and sacrum. Extraosseous Ewing's sarcoma (EES) is rare, most commonly presenting as a paravertebral mass lesion. Its manifestation as an anterior epidural mass lesion with extension along brachial plexus is an even rarer phenomenon. A 25-year-old male presented with neck stiffness and progressive weakness of the bilateral upper and lower limbs. Magnetic resonance imaging of the cervical spine revealed an anterior epidural mass lesion compressing the cervical cord and extending along the right brachial plexus, suggesting imaging differentials of EES and lymphoma. The patient underwent laminectomy with gross tumor resection, and histopathology confirmed a diagnosis of EES. EES should be kept in the differential diagnosis of anterior epidural mass lesions in young adults, specifically when the lesion shows extension along multiple neural foramina and nerve plexus.

Key-words:

Ewing's sarcoma family of tumors - Ewing's sarcoma - extraosseous Ewing's sarcoma - peripheral primitive neuroectodermal tumor

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 05. April 2020

Angenommen: 03. September 2020

Artikel online veröffentlicht:
16. August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Murphey MD, Senchak LT, Mambalam PK, Logie CI, Klassen-Fischer MK, Kransdorf MJ. From the radiologic pathology archives: Ewing sarcoma family of tumors: Radiologic-pathologic correlation. Radiographics 2013;33:803-31.
  • 2 Isefuku S, Seki M, Tajino T, Hakozaki M, Asano S, Hojo H, et al. Ewing's sarcoma in the spinal nerve root: A case report and review of the literature. Tohoku J Exp Med 2006;209:369-77.
  • 3 Tefft M, Vawter GF, Mitus A. Paravertebral “round cell” tumors in children. Radiology 1969;92:1501-9.
  • 4 Kasper GJ, Kamphrost W, Van De Graff M, van Alhpen AM, Veerman AJ. Primary spinal epidural extraosseous Ewing's sarcoma. Cancer 1991;68:648-54.
  • 5 Bustoros M, Thomas C, Frenster J, Modrek AS, Bayin NS, Snuderl M, et al. Adult primary spinal epidural extraosseous Ewing's sarcoma: A case report and review of the literature. Case Rep Neurol Med 2016;2016:1217428.
  • 6 Saeedinia S, Nouri M, Alimohammadi M, Moradi H, Amirjamshidi A. Primary spinal extradural Ewing's sarcoma (primitive neuroectodermal tumor): Report of a case and meta-analysis of the reported cases in the literature. Surg Neurol Int 2012;3:55.
  • 7 Lu VM, Goyal A, Alvi MA, Kerezoudis P, Haddock MG, Bydon M. Primary intradural Ewing's sarcoma of the spine: A systematic review of the literature. Clin Neurol Neurosurg 2019;177:12-9.
  • 8 Mukhopadhyay P, Gairola M, Sharma M, Thulkar S, Julka P, Rath G. Primary spinal epidural extraosseous Ewing's sarcoma: Report of five cases and literature review. Australas Radiol 2001;45:372-9.
  • 9 Javery O, Krajewski K, O'Regan K, Kis B, Giardino A, Jagannathan J, et al. A to Z of extraskeletal Ewing sarcoma family of tumors in adults: Imaging features of primary disease, metastatic patterns, and treatment responses. AJR Am J Roentgenol 2011;197:W1015-22.
  • 10 Boffano M, Piana R. Letter to the editor regarding “intraneural Ewing sarcoma of fibular nerve: Case report, radiologic findings and review of literature”. World Neurosurg 2019;2:100017.
  • 11 Galyfos G, Karantzikos GA, Kavouras N, Sianou A, Palogos K, Filis K. Extraosseous Ewing sarcoma: Diagnosis, prognosis and optimal management. Indian J Surg 2016;78:49-53.
  • 12 Applebaum MA, Worch J, Matthay KK, Goldsby R, Neuhaus J, West DC, et al. Clinical features and outcomes in patients with extraskeletal Ewing sarcoma. Cancer 2011;117:3027-32.