Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature

Background. Extraosseous Ewing’s sarcoma in the spinal epidural space is a rare malignancy, especially in adults. Case Presentation. A 40-year-old male presented with back pain and urinary hesitancy. MRI revealed a thoracic extradural mass with no osseous involvement. He underwent surgery for gross...

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Main Authors: Mark Bustoros, Cheddhi Thomas, Joshua Frenster, Aram S. Modrek, N. Sumru Bayin, Matija Snuderl, Gerald Rosen, Peter B. Schiff, Dimitris G. Placantonakis
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/1217428
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author Mark Bustoros
Cheddhi Thomas
Joshua Frenster
Aram S. Modrek
N. Sumru Bayin
Matija Snuderl
Gerald Rosen
Peter B. Schiff
Dimitris G. Placantonakis
author_facet Mark Bustoros
Cheddhi Thomas
Joshua Frenster
Aram S. Modrek
N. Sumru Bayin
Matija Snuderl
Gerald Rosen
Peter B. Schiff
Dimitris G. Placantonakis
author_sort Mark Bustoros
collection DOAJ
description Background. Extraosseous Ewing’s sarcoma in the spinal epidural space is a rare malignancy, especially in adults. Case Presentation. A 40-year-old male presented with back pain and urinary hesitancy. MRI revealed a thoracic extradural mass with no osseous involvement. He underwent surgery for gross total resection of the mass, which was diagnosed as Ewing’s sarcoma. He was subsequently treated with chemoradiotherapy. He remains disease-free 1 year after surgery. Review of the literature indicated only 45 previously reported cases of spinal epidural extraosseous Ewing’s sarcoma in adults. Conclusions. Extraosseous Ewing’s sarcoma in the spinal epidural space is a rare clinical entity that should be included in the differential for spinal epidural masses. Its treatment is multidisciplinary but frequently requires surgical intervention due to compressive neurologic symptoms. Gross total resection appears to correlate with improved outcomes.
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publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-3450145069b94bc48408eb31a5e18e612025-02-03T07:24:46ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/12174281217428Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the LiteratureMark Bustoros0Cheddhi Thomas1Joshua Frenster2Aram S. Modrek3N. Sumru Bayin4Matija Snuderl5Gerald Rosen6Peter B. Schiff7Dimitris G. Placantonakis8Department of Neurosurgery, NYU School of Medicine, New York, NY 10016, USADepartment of Pathology, NYU School of Medicine, New York, NY 10016, USADepartment of Neurosurgery, NYU School of Medicine, New York, NY 10016, USADepartment of Neurosurgery, NYU School of Medicine, New York, NY 10016, USADepartment of Neurosurgery, NYU School of Medicine, New York, NY 10016, USADepartment of Pathology, NYU School of Medicine, New York, NY 10016, USAPerlmutter Cancer Center, NYU Langone Medical Center, New York, NY 10016, USAPerlmutter Cancer Center, NYU Langone Medical Center, New York, NY 10016, USADepartment of Neurosurgery, NYU School of Medicine, New York, NY 10016, USABackground. Extraosseous Ewing’s sarcoma in the spinal epidural space is a rare malignancy, especially in adults. Case Presentation. A 40-year-old male presented with back pain and urinary hesitancy. MRI revealed a thoracic extradural mass with no osseous involvement. He underwent surgery for gross total resection of the mass, which was diagnosed as Ewing’s sarcoma. He was subsequently treated with chemoradiotherapy. He remains disease-free 1 year after surgery. Review of the literature indicated only 45 previously reported cases of spinal epidural extraosseous Ewing’s sarcoma in adults. Conclusions. Extraosseous Ewing’s sarcoma in the spinal epidural space is a rare clinical entity that should be included in the differential for spinal epidural masses. Its treatment is multidisciplinary but frequently requires surgical intervention due to compressive neurologic symptoms. Gross total resection appears to correlate with improved outcomes.http://dx.doi.org/10.1155/2016/1217428
spellingShingle Mark Bustoros
Cheddhi Thomas
Joshua Frenster
Aram S. Modrek
N. Sumru Bayin
Matija Snuderl
Gerald Rosen
Peter B. Schiff
Dimitris G. Placantonakis
Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature
Case Reports in Neurological Medicine
title Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature
title_full Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature
title_fullStr Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature
title_full_unstemmed Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature
title_short Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature
title_sort adult primary spinal epidural extraosseous ewing s sarcoma a case report and review of the literature
url http://dx.doi.org/10.1155/2016/1217428
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