Presentation
Shortness of breath, left sided upper back pain
Patient Data
Age: 15 years
Gender: Male
From the case:
Ewing sarcoma - chest wall
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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.
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Abnormal uptake in T9 and T10 as well as left posterior 8th and 9th ribs. No additional bony lesion.
From the case:
Ewing sarcoma - chest wall
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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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