Ewing sarcoma - pelvis
Patient Data
Age: 20 years
Gender: Male
From the case:
Ewing sarcoma - pelvis
X-ray
A very ill-defined lucency on the right involving the pelvis is seen, with no convincing cortical breach or periosteal reaction. There is also some soft tissue fullness lateral to the pelvis and medial displacement of the cecum.
From the case:
Ewing sarcoma - pelvis
Nuclear medicine
Bone scan
Bone scan demonstrates markedly increased uptake in the right hemipelvis.
From the case:
Ewing sarcoma - pelvis
CT
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Axial C+ portal venous phase
CT demonstrates a large soft tissue mass centered on the right hemi-pelvis.
From the case:
Ewing sarcoma - pelvis
MRI
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Coronal T2 fat sat
MRI confirms the CT findings, with a very large mass not evident extending through the pelvis.
Case Discussion
This was confirmed to be a Ewing sarcoma of the pelvis in a 20 year old male.
Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.
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