Primary Ewing's sarcoma of the cervical vertebra: A case report

Ewing's sarcoma is an aggressive small round cell tumor and represents the second most common malignant bone neoplasm in children, following osteosarcoma. However, spinal Ewing's sarcoma is a rare entity in children, with extra-vertebral locations being more common. This case is distinguis...

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Main Authors: K. Elaitari, S. Jabour, N. Boujida, N. Allali, L. Chat, M. EL Kababri, A. Kili, L. Hessissein, A. Regragui, S. El Haddad
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325006004
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author K. Elaitari
S. Jabour
N. Boujida
N. Allali
L. Chat
M. EL Kababri
A. Kili
L. Hessissein
A. Regragui
S. El Haddad
author_facet K. Elaitari
S. Jabour
N. Boujida
N. Allali
L. Chat
M. EL Kababri
A. Kili
L. Hessissein
A. Regragui
S. El Haddad
author_sort K. Elaitari
collection DOAJ
description Ewing's sarcoma is an aggressive small round cell tumor and represents the second most common malignant bone neoplasm in children, following osteosarcoma. However, spinal Ewing's sarcoma is a rare entity in children, with extra-vertebral locations being more common. This case is distinguished by several particularities: atypical initial symptoms, and a diagnostic delay possibly related to either underestimation by the family or false reassurance from an initially unremarkable standard radiograph; unusual vertebral involvement; and a cervical location, which is even more exceptional. Moreover, there is an overlap in radiological and histological presentations with other tumor types, highlighting the importance of multidisciplinary correlation (clinical, radiological, and histopathological) to establish an accurate diagnosis. The patient underwent surgical decompression followed by chemotherapy. Disease progression was subsequently observed on follow-up imaging.
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institution Kabale University
issn 1930-0433
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publishDate 2025-10-01
publisher Elsevier
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series Radiology Case Reports
spelling doaj-art-61182aa1518742649707f5e906da79fe2025-08-20T03:56:04ZengElsevierRadiology Case Reports1930-04332025-10-0120105116512110.1016/j.radcr.2025.06.055Primary Ewing's sarcoma of the cervical vertebra: A case reportK. Elaitari0S. Jabour1N. Boujida2N. Allali3L. Chat4M. EL Kababri5A. Kili6L. Hessissein7A. Regragui8S. El Haddad9Department of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, Morocco; Corresponding author.Department of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoDepartment of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoDepartment of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoDepartment of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoDepartment of Pediatric Hematology and Oncology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoDepartment of Pediatric Hematology and Oncology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoDepartment of Pediatric Hematology and Oncology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoAgdal Pathology Center (C.A.P.A), Rabat, MoroccoDepartment of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, MoroccoEwing's sarcoma is an aggressive small round cell tumor and represents the second most common malignant bone neoplasm in children, following osteosarcoma. However, spinal Ewing's sarcoma is a rare entity in children, with extra-vertebral locations being more common. This case is distinguished by several particularities: atypical initial symptoms, and a diagnostic delay possibly related to either underestimation by the family or false reassurance from an initially unremarkable standard radiograph; unusual vertebral involvement; and a cervical location, which is even more exceptional. Moreover, there is an overlap in radiological and histological presentations with other tumor types, highlighting the importance of multidisciplinary correlation (clinical, radiological, and histopathological) to establish an accurate diagnosis. The patient underwent surgical decompression followed by chemotherapy. Disease progression was subsequently observed on follow-up imaging.http://www.sciencedirect.com/science/article/pii/S1930043325006004Spinal Ewing’s sarcomaImagingSpinal cord compressionImmunohistochemistry
spellingShingle K. Elaitari
S. Jabour
N. Boujida
N. Allali
L. Chat
M. EL Kababri
A. Kili
L. Hessissein
A. Regragui
S. El Haddad
Primary Ewing's sarcoma of the cervical vertebra: A case report
Radiology Case Reports
Spinal Ewing’s sarcoma
Imaging
Spinal cord compression
Immunohistochemistry
title Primary Ewing's sarcoma of the cervical vertebra: A case report
title_full Primary Ewing's sarcoma of the cervical vertebra: A case report
title_fullStr Primary Ewing's sarcoma of the cervical vertebra: A case report
title_full_unstemmed Primary Ewing's sarcoma of the cervical vertebra: A case report
title_short Primary Ewing's sarcoma of the cervical vertebra: A case report
title_sort primary ewing s sarcoma of the cervical vertebra a case report
topic Spinal Ewing’s sarcoma
Imaging
Spinal cord compression
Immunohistochemistry
url http://www.sciencedirect.com/science/article/pii/S1930043325006004
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