A case report and review of the literature
HichamSallahi, Omar Margad, KhalidKoulaliIdrissi
Trauma-Orthopaedic Department, Military Hospital of Avicenne Marrakech
correspondingauthor: Hicham Sallahi
Address :Trauma-Orthopaedic Department, Military Hospital of Avicenne Marrakech
Tél : +212661353375
E-mail : sallahi.hicham37@gmail.com
Summary
The extraosseous Ewing's sarcoma is a rare tumor. The authors reported a case on the thigh level, and discussed; in the light of a review of the literaturethe etiopathogenic, diagnosis and therapy aspects of this tumor.
This case is about a 13 years old child, who suffered from a posttraumatic pain in the right thigh. The Standard radiography was …show more content…
Paravertebral area and the extremities are the locations most frequently encountered. We report one case with review of literature.
Case report
This concerns a child of 13 years old without significant pathological history, seen in consultation for painoriginally post-traumatic in the right thigh and persistent at rest. Clinical examination noted a predominant firm and sensible swelling in the anterolateral surface of the thigh. The patient was apyretic, and generally, in goodhealth condition.
A standard X-ray was normal (fig 1). MRI highlighted an important tumoral mass in the soft parts of the thigh extending to the bone (fig 2). A surgical biopsy was performed and the histology favored extraosseous Ewing's sarcoma. The patient died from complications of chemotherapy.
Discussion
Ewing's sarcoma is a variety of sarcoma originally called reticuloendothelial. It may evolve in the bone marrow: bone sarcoma develops among children from 10 to 14 years old. There are also extraosseous localizations [1]. The first case of EES was reported by Tefft[2]. The boys are more often affected than girls. Allam[3] reported a sex ratio of 2.4: 1 in a set of 24