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Extraosseus Ewing's Sarcoma of the Forearm
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. X-rays showed increased soft...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410401/ https://www.ncbi.nlm.nih.gov/pubmed/32782870 http://dx.doi.org/10.7759/cureus.9051 |
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author | Bansal, Kuldeep Prasad, Avijeet Shahi, Pratyush Sehgal, Apoorv Kamal, Sushil |
author_facet | Bansal, Kuldeep Prasad, Avijeet Shahi, Pratyush Sehgal, Apoorv Kamal, Sushil |
author_sort | Bansal, Kuldeep |
collection | PubMed |
description | 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. X-rays 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. |
format | Online Article Text |
id | pubmed-7410401 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-74104012020-08-10 Extraosseus Ewing's Sarcoma of the Forearm Bansal, Kuldeep Prasad, Avijeet Shahi, Pratyush Sehgal, Apoorv Kamal, Sushil Cureus Oncology 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. X-rays 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. Cureus 2020-07-07 /pmc/articles/PMC7410401/ /pubmed/32782870 http://dx.doi.org/10.7759/cureus.9051 Text en Copyright © 2020, Bansal et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Oncology Bansal, Kuldeep Prasad, Avijeet Shahi, Pratyush Sehgal, Apoorv Kamal, Sushil Extraosseus Ewing's Sarcoma of the Forearm |
title | Extraosseus Ewing's Sarcoma of the Forearm |
title_full | Extraosseus Ewing's Sarcoma of the Forearm |
title_fullStr | Extraosseus Ewing's Sarcoma of the Forearm |
title_full_unstemmed | Extraosseus Ewing's Sarcoma of the Forearm |
title_short | Extraosseus Ewing's Sarcoma of the Forearm |
title_sort | extraosseus ewing's sarcoma of the forearm |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410401/ https://www.ncbi.nlm.nih.gov/pubmed/32782870 http://dx.doi.org/10.7759/cureus.9051 |
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