Adult Intramedullary Ewing Sarcoma of the Proximal Hip

Ewing sarcoma of bone is classically a permeative lesion in the diaphysis of long bones in children. While they occur primarily in children and adolescents, they can be seen in young adults in their 20s, but these are typically seen in flat bones. The permeative nature of the lesion can elicit new b...

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Main Authors: Preetam Gongidi, Siva Jasti, William Rafferty, Veniamin Barshay, Richard Lackman
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2014/916935
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author Preetam Gongidi
Siva Jasti
William Rafferty
Veniamin Barshay
Richard Lackman
author_facet Preetam Gongidi
Siva Jasti
William Rafferty
Veniamin Barshay
Richard Lackman
author_sort Preetam Gongidi
collection DOAJ
description Ewing sarcoma of bone is classically a permeative lesion in the diaphysis of long bones in children. While they occur primarily in children and adolescents, they can be seen in young adults in their 20s, but these are typically seen in flat bones. The permeative nature of the lesion can elicit new bone formation creating a partially sclerotic appearance, cortical expansion presenting as a “Codman triangle,” or have an “onion-skin” type of aggressive periosteal reaction/periostitis. Ewing sarcoma is rarely seen without an associated soft-tissue mass and is even rarer to just have benign-appearing periostitis (e.g., thick, uniform, or wavy cortex). We present such a case of Ewing sarcoma in a young adult confined to just the medullary metadiaphysis without cortical erosion or soft-tissue mass. To the best of our knowledge, this is the first case to be reported in the radiology literature.
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institution Kabale University
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spelling doaj-art-e4b86702c1554e608ca3035bf2473f692025-02-03T05:46:35ZengWileyCase Reports in Radiology2090-68622090-68702014-01-01201410.1155/2014/916935916935Adult Intramedullary Ewing Sarcoma of the Proximal HipPreetam Gongidi0Siva Jasti1William Rafferty2Veniamin Barshay3Richard Lackman4Department of Radiology, Cooper University Hospital, Cooper Medical School of Rowan University, One Cooper Plaza B23, Camden, NJ 08103, USADepartment of Radiology, Cooper University Hospital, Cooper Medical School of Rowan University, One Cooper Plaza B23, Camden, NJ 08103, USADepartment of Pathology, Cooper University Hospital, Cooper Medical School of Rowan University, One Cooper Plaza B23, Camden, NJ 08103, USADepartment of Radiology, Cooper University Hospital, Cooper Medical School of Rowan University, One Cooper Plaza B23, Camden, NJ 08103, USAMD Anderson Cancer Center at Cooper Orthopedic Oncology Center, Cooper University Hospital, Cooper Medical School of Rowan University, One Cooper Plaza, B23, Camden, NJ 08103, USAEwing sarcoma of bone is classically a permeative lesion in the diaphysis of long bones in children. While they occur primarily in children and adolescents, they can be seen in young adults in their 20s, but these are typically seen in flat bones. The permeative nature of the lesion can elicit new bone formation creating a partially sclerotic appearance, cortical expansion presenting as a “Codman triangle,” or have an “onion-skin” type of aggressive periosteal reaction/periostitis. Ewing sarcoma is rarely seen without an associated soft-tissue mass and is even rarer to just have benign-appearing periostitis (e.g., thick, uniform, or wavy cortex). We present such a case of Ewing sarcoma in a young adult confined to just the medullary metadiaphysis without cortical erosion or soft-tissue mass. To the best of our knowledge, this is the first case to be reported in the radiology literature.http://dx.doi.org/10.1155/2014/916935
spellingShingle Preetam Gongidi
Siva Jasti
William Rafferty
Veniamin Barshay
Richard Lackman
Adult Intramedullary Ewing Sarcoma of the Proximal Hip
Case Reports in Radiology
title Adult Intramedullary Ewing Sarcoma of the Proximal Hip
title_full Adult Intramedullary Ewing Sarcoma of the Proximal Hip
title_fullStr Adult Intramedullary Ewing Sarcoma of the Proximal Hip
title_full_unstemmed Adult Intramedullary Ewing Sarcoma of the Proximal Hip
title_short Adult Intramedullary Ewing Sarcoma of the Proximal Hip
title_sort adult intramedullary ewing sarcoma of the proximal hip
url http://dx.doi.org/10.1155/2014/916935
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AT williamrafferty adultintramedullaryewingsarcomaoftheproximalhip
AT veniaminbarshay adultintramedullaryewingsarcomaoftheproximalhip
AT richardlackman adultintramedullaryewingsarcomaoftheproximalhip