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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Format: | Article |
Language: | English |
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Wiley
2016-01-01
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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. |
format | Article |
id | doaj-art-3450145069b94bc48408eb31a5e18e61 |
institution | Kabale University |
issn | 2090-6668 2090-6676 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
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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