Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case report

Ewing sarcoma is a rare and aggressive neoplasm that primarily affects the bones and soft tissues of pediatric and adolescent patients. When located in the abdominopelvic region, it poses challenges for treatment due to its proximity to vital organs. We present a case of a 16-year-old male diagnosed...

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Main Authors: Bilal Qayyum, Sajid Ali, Tariq Latif
Format: Article
Language:English
Published: University of Faisalabad 2025-05-01
Series:Journal of University Medical & Dental College
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Online Access:https://www.jumdc.com/index.php/jumdc/article/view/1102
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author Bilal Qayyum
Sajid Ali
Tariq Latif
author_facet Bilal Qayyum
Sajid Ali
Tariq Latif
author_sort Bilal Qayyum
collection DOAJ
description Ewing sarcoma is a rare and aggressive neoplasm that primarily affects the bones and soft tissues of pediatric and adolescent patients. When located in the abdominopelvic region, it poses challenges for treatment due to its proximity to vital organs. We present a case of a 16-year-old male diagnosed with abdominopelvic Ewing sarcoma. He presented with abdominal pain and swelling extending from the pelvis to above the umbilical region. CT imaging revealed a large mass with both solid and cystic components originating from the pelvic area, with surrounding displacement. A core needle biopsy confirmed the diagnosis. Neo-adjuvant chemotherapy was initiated to reduce the tumor size. Post-treatment imaging revealed two masses, one in the pelvis and one in the peri-splenic area. Laparoscopic surgery successfully excised abdominopelvic Ewing’s Sarcoma. Histopathology showed clear resection margins and 60% necrosis. Adjuvant radiotherapy was given to minimize recurrence. This case demonstrates successful management using a multidisciplinary approach.
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spelling doaj-art-b2e9aa489ef042f6a539635cff158f882025-08-20T02:37:38ZengUniversity of FaisalabadJournal of University Medical & Dental College2221-78272310-55422025-05-0116210.37723/jumdc.v16i2.1102Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case reportBilal Qayyum0Sajid Ali1Tariq Latif2Fellow in Paediatrics Surgical Oncology, SKMCH and RC, Lahore.Senior Instructor, Paediatrics Surgical Oncology, SKMCH and RC, Lahore.Concultant , Paediatric Surgical Oncology, SKMCH and RC, Lahore.Ewing sarcoma is a rare and aggressive neoplasm that primarily affects the bones and soft tissues of pediatric and adolescent patients. When located in the abdominopelvic region, it poses challenges for treatment due to its proximity to vital organs. We present a case of a 16-year-old male diagnosed with abdominopelvic Ewing sarcoma. He presented with abdominal pain and swelling extending from the pelvis to above the umbilical region. CT imaging revealed a large mass with both solid and cystic components originating from the pelvic area, with surrounding displacement. A core needle biopsy confirmed the diagnosis. Neo-adjuvant chemotherapy was initiated to reduce the tumor size. Post-treatment imaging revealed two masses, one in the pelvis and one in the peri-splenic area. Laparoscopic surgery successfully excised abdominopelvic Ewing’s Sarcoma. Histopathology showed clear resection margins and 60% necrosis. Adjuvant radiotherapy was given to minimize recurrence. This case demonstrates successful management using a multidisciplinary approach. https://www.jumdc.com/index.php/jumdc/article/view/1102SarcomaEwingCase Report.
spellingShingle Bilal Qayyum
Sajid Ali
Tariq Latif
Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case report
Journal of University Medical & Dental College
Sarcoma
Ewing
Case Report.
title Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case report
title_full Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case report
title_fullStr Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case report
title_full_unstemmed Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case report
title_short Laparoscopic excision of abdominopelvic Ewing’s Sarcoma in a child: A case report
title_sort laparoscopic excision of abdominopelvic ewing s sarcoma in a child a case report
topic Sarcoma
Ewing
Case Report.
url https://www.jumdc.com/index.php/jumdc/article/view/1102
work_keys_str_mv AT bilalqayyum laparoscopicexcisionofabdominopelvicewingssarcomainachildacasereport
AT sajidali laparoscopicexcisionofabdominopelvicewingssarcomainachildacasereport
AT tariqlatif laparoscopicexcisionofabdominopelvicewingssarcomainachildacasereport