Ewing sarcoma - chest wall

Case contributed by Dr Andrew Kirby

Presentation

Shortness of breath, left sided upper back pain

Patient Data

Age: 15 years
Gender: Male
MRI

Large heterogeneous left thoracic mass. Destruction of posterior 9th rib and T9 and T10 vertebral bodies with wedging. Extension through neural foramina into spinal canal. Left lower anterior pleural mets and multiple mediastinal nodes.

Bone Scan

Nuclear medicine

Abnormal uptake in T9 and T10 as well as left posterior 8th and 9th ribs. No additional bony lesion.

CT

Large left posterior chest wall lesion. Destruction of posterior 8th and 9th ribs, and T9, T10 vertebral bodies. Mediastinal nodes and anterior diaphragmatic recess masses. No lungs metastases.

Case Discussion

Pathology confirmed Ewing Sarcoma, T2N1M1. Completed 14 cycles of chemotherapy and radiotherapy to mediastinum and left chest.

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