Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient

Although the spine is frequently involved in metastatic Ewing's sarcoma, primary involvement of the spine, beside sacrum, is much less frequent, especially in adult patients. Because of the low incidence of these tumors, there are currently no clinical guidelines outlining their management and...

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Main Authors: Maurizio Iacoangeli, Mauro Dobran, Alessandro Di Rienzo, Lucia Giovanna Maria di Somma, Lorenzo Alvaro, Elisa Moriconi, Niccolò Nocchi, Maurizio Gladi, Massimo Scerrati
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2012/165289
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author Maurizio Iacoangeli
Mauro Dobran
Alessandro Di Rienzo
Lucia Giovanna Maria di Somma
Lorenzo Alvaro
Elisa Moriconi
Niccolò Nocchi
Maurizio Gladi
Massimo Scerrati
author_facet Maurizio Iacoangeli
Mauro Dobran
Alessandro Di Rienzo
Lucia Giovanna Maria di Somma
Lorenzo Alvaro
Elisa Moriconi
Niccolò Nocchi
Maurizio Gladi
Massimo Scerrati
author_sort Maurizio Iacoangeli
collection DOAJ
description Although the spine is frequently involved in metastatic Ewing's sarcoma, primary involvement of the spine, beside sacrum, is much less frequent, especially in adult patients. Because of the low incidence of these tumors, there are currently no clinical guidelines outlining their management and a multitude of therapeutic strategies have been employed with varying success. The definitive management of Ewing's sarcoma of the spine, as in other locations, could include the combination of three main modalities: aggressive surgery, radiotherapy, and combined chemotherapy. Whenever possible, en bloc spondylectomy or extralesional resection is preferable, providing a better oncological result with a longer survival and a better preservation of the spine biomechanics. This is the lesson we learned about the case, we present here, of nonmetastatic lumbar localization by Ewing’s sarcoma in as adult patient.
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issn 2090-6706
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publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Oncological Medicine
spelling doaj-art-acfa722a0c6647c8869020680fdaee9d2025-08-20T02:20:34ZengWileyCase Reports in Oncological Medicine2090-67062090-67142012-01-01201210.1155/2012/165289165289Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult PatientMaurizio Iacoangeli0Mauro Dobran1Alessandro Di Rienzo2Lucia Giovanna Maria di Somma3Lorenzo Alvaro4Elisa Moriconi5Niccolò Nocchi6Maurizio Gladi7Massimo Scerrati8Dipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyDipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, ItalyAlthough the spine is frequently involved in metastatic Ewing's sarcoma, primary involvement of the spine, beside sacrum, is much less frequent, especially in adult patients. Because of the low incidence of these tumors, there are currently no clinical guidelines outlining their management and a multitude of therapeutic strategies have been employed with varying success. The definitive management of Ewing's sarcoma of the spine, as in other locations, could include the combination of three main modalities: aggressive surgery, radiotherapy, and combined chemotherapy. Whenever possible, en bloc spondylectomy or extralesional resection is preferable, providing a better oncological result with a longer survival and a better preservation of the spine biomechanics. This is the lesson we learned about the case, we present here, of nonmetastatic lumbar localization by Ewing’s sarcoma in as adult patient.http://dx.doi.org/10.1155/2012/165289
spellingShingle Maurizio Iacoangeli
Mauro Dobran
Alessandro Di Rienzo
Lucia Giovanna Maria di Somma
Lorenzo Alvaro
Elisa Moriconi
Niccolò Nocchi
Maurizio Gladi
Massimo Scerrati
Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient
Case Reports in Oncological Medicine
title Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient
title_full Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient
title_fullStr Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient
title_full_unstemmed Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient
title_short Nonmetastatic Ewing’s Sarcoma of the Lumbar Spine in an Adult Patient
title_sort nonmetastatic ewing s sarcoma of the lumbar spine in an adult patient
url http://dx.doi.org/10.1155/2012/165289
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