Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic Challenge
Ewing’s sarcoma is a common bone tumour of childhood but is a rare occurrence in individuals over 20 years of age. Few cases are reported as originating from peripheral nerves. We present an unusual case of extraosseous Ewing’s sarcoma originating from the sciatic nerve in a 66-year-old patient whi...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/172635 |
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| _version_ | 1850232131109781504 |
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| author | Aadhar Sharma Kate Brown John Skinner Jeremy Whelan Michael Fox |
| author_facet | Aadhar Sharma Kate Brown John Skinner Jeremy Whelan Michael Fox |
| author_sort | Aadhar Sharma |
| collection | DOAJ |
| description | Ewing’s sarcoma is a common bone tumour of childhood but is a rare occurrence in individuals over 20 years of age. Few cases are reported as originating from peripheral nerves. We present an unusual case of extraosseous Ewing’s sarcoma originating from the sciatic nerve in a 66-year-old patient which had the clinical hallmarks of a benign nerve sheath tumour. Following discussion at a multidisciplinary meeting, excision biopsy of the suspected benign nerve sheath tumour was planned. At operation, the mass had malignant features. Histology confirmed the presence of Ewing’s sarcoma. Due to the morbidity of nerve resection, radiotherapy and chemotherapy were commenced. Ewing’s sarcoma is known to mimic benign pathologies. In this case there were subtle signs of a malignant process in the form of unremitting pain. It is vital to keep in mind the less common tumours that can affect the peripheral nervous system in such cases. |
| format | Article |
| id | doaj-art-0a0863f67a98438289e2cb87d1836b9a |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-0a0863f67a98438289e2cb87d1836b9a2025-08-20T02:03:17ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/172635172635Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic ChallengeAadhar Sharma0Kate Brown1John Skinner2Jeremy Whelan3Michael Fox4Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UKPeripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UKSarcoma Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UKDepartment of Clinical Oncology, University College Hospital, Euston Road, London NW1 2BU, UKPeripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UKEwing’s sarcoma is a common bone tumour of childhood but is a rare occurrence in individuals over 20 years of age. Few cases are reported as originating from peripheral nerves. We present an unusual case of extraosseous Ewing’s sarcoma originating from the sciatic nerve in a 66-year-old patient which had the clinical hallmarks of a benign nerve sheath tumour. Following discussion at a multidisciplinary meeting, excision biopsy of the suspected benign nerve sheath tumour was planned. At operation, the mass had malignant features. Histology confirmed the presence of Ewing’s sarcoma. Due to the morbidity of nerve resection, radiotherapy and chemotherapy were commenced. Ewing’s sarcoma is known to mimic benign pathologies. In this case there were subtle signs of a malignant process in the form of unremitting pain. It is vital to keep in mind the less common tumours that can affect the peripheral nervous system in such cases.http://dx.doi.org/10.1155/2015/172635 |
| spellingShingle | Aadhar Sharma Kate Brown John Skinner Jeremy Whelan Michael Fox Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic Challenge Case Reports in Surgery |
| title | Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic Challenge |
| title_full | Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic Challenge |
| title_fullStr | Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic Challenge |
| title_full_unstemmed | Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic Challenge |
| title_short | Extraskeletal Ewing’s Sarcoma Arising from the Sciatic Nerve: A Diagnostic Challenge |
| title_sort | extraskeletal ewing s sarcoma arising from the sciatic nerve a diagnostic challenge |
| url | http://dx.doi.org/10.1155/2015/172635 |
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