Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology Center

We present a case series of three pediatric patients diagnosed with Ewing’s sarcoma at distinct anatomical sites—the scalp with intracranial extension, the forearm involving bone, and the lumbar region with metastatic spread. Each patient underwent a detailed clinical assessment, radiological imagi...

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Main Author: Ruqayya Manzoor
Format: Article
Language:English
Published: University of Lahore 2025-06-01
Series:Journal of University College of Medicine and Dentistry
Subjects:
Online Access:https://journals.uol.edu.pk/jucmd/article/view/4025
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author Ruqayya Manzoor
author_facet Ruqayya Manzoor
author_sort Ruqayya Manzoor
collection DOAJ
description We present a case series of three pediatric patients diagnosed with Ewing’s sarcoma at distinct anatomical sites—the scalp with intracranial extension, the forearm involving bone, and the lumbar region with metastatic spread. Each patient underwent a detailed clinical assessment, radiological imaging, histopathology, and immunohistochemistry for diagnosis. Treatment comprised a multidisciplinary approach including surgical resection, chemotherapy, and radiotherapy. Our findings highlight the diverse clinical manifestations, diagnostic challenges, and the critical role of early detection and individualized treatment strategies in optimizing outcomes for Ewing’s sarcoma patients.
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publishDate 2025-06-01
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spelling doaj-art-1e0075b8e62842c1bb3fbf50856007472025-08-20T02:07:23ZengUniversity of LahoreJournal of University College of Medicine and Dentistry2790-34432790-34512025-06-014210.51846/jucmd.v4i2.4025Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology CenterRuqayya Manzoor0Assistant Professor, Department of Pediatric Oncology, Children Hospital Pakistan Institute of Medical Sciences, Islamabad, Pakistan We present a case series of three pediatric patients diagnosed with Ewing’s sarcoma at distinct anatomical sites—the scalp with intracranial extension, the forearm involving bone, and the lumbar region with metastatic spread. Each patient underwent a detailed clinical assessment, radiological imaging, histopathology, and immunohistochemistry for diagnosis. Treatment comprised a multidisciplinary approach including surgical resection, chemotherapy, and radiotherapy. Our findings highlight the diverse clinical manifestations, diagnostic challenges, and the critical role of early detection and individualized treatment strategies in optimizing outcomes for Ewing’s sarcoma patients. https://journals.uol.edu.pk/jucmd/article/view/4025Ewing's SarcomaPaediatric Bone TumorIntracranial ExtensionMetastasisHistopathologyImmunohistochemistry
spellingShingle Ruqayya Manzoor
Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology Center
Journal of University College of Medicine and Dentistry
Ewing's Sarcoma
Paediatric Bone Tumor
Intracranial Extension
Metastasis
Histopathology
Immunohistochemistry
title Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology Center
title_full Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology Center
title_fullStr Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology Center
title_full_unstemmed Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology Center
title_short Unusual Clinical Presentations and Diagnostic Challenges of Pediatric Ewing’s Sarcoma: A Case Series from a Tertiary Oncology Center
title_sort unusual clinical presentations and diagnostic challenges of pediatric ewing s sarcoma a case series from a tertiary oncology center
topic Ewing's Sarcoma
Paediatric Bone Tumor
Intracranial Extension
Metastasis
Histopathology
Immunohistochemistry
url https://journals.uol.edu.pk/jucmd/article/view/4025
work_keys_str_mv AT ruqayyamanzoor unusualclinicalpresentationsanddiagnosticchallengesofpediatricewingssarcomaacaseseriesfromatertiaryoncologycenter