Ewing sarcoma

Case contributed by Dr Hani Makky Al Salam

Presentation

Left shoulder swelling.

Patient Data

Age: 6 years
Gender: Female
X-ray

Large expansile mass involving the proximal humeral metaphysis. 

Nuclear medicine

Increased activity in the left proximal humerus. 

MRI

MRI not only confirms the presence of a mass but also demonstrates a large extra-osseous component both laterally beneath deltoid, as well as medially into the axilla. The mass is isointense to muscle on T1, heterogeneously high on T2 and demonstrates extensive contrast enhancement.

Case Discussion

Pathologically proven Ewing sarcoma

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Case information

rID: 8002
Published: 2nd Jan 2010
Last edited: 10th Mar 2021
Inclusion in quiz mode: Included