Ewing sarcoma - femur

Case contributed by Ahmed Abdrabou
Diagnosis almost certain


Left thigh pain and swelling. Plain radiograph reveals aggressive lesion.

Patient Data

Age: 20 years
Gender: Male
Nuclear medicine

Aggressive predominantly sclerotic marrow lesion of the mid left femoral shaft with associated periosteal elevation and soft tissue extension. PET images reveal avid tracer uptake and delineate surrounding soft tissue extension. No distant metastasis. Mean SUV value ~6.04.

Case Discussion

Biopsy from this lesion revealed Ewing sarcoma. PET-CT was performed to assess tumor extension and search for any distant metastasis.

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