Ewing sarcoma - humerus

Case contributed by Dr Hani Makky Al Salam

Patient Data

Age: 15 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Right shoulder

x_ray

Heterogeneous lucency is noted at the right humeral head and neck.

mri

A heterogeneous intramedullary lesion is noted involving the right humeral head and neck, which is hypointense on T1 and hyperintensity on T2-weighted sequences with heterogeneous postcontrast enhancement on T1 C+ fat sat. This is extending downwards to involve the rest of the medullary cavity of the humerus with heterogeneous postcontrast enhancement.

Permeative cortical destruction is noted with surrounding subperiosteal soft tissue proliferation. The lateral scapula including the glenoid is also affected by the same process.

Nuclear medicine

High uptake of the right humeral head and neck.

Case Discussion

Pathologically proven Ewing sarcoma.

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