33. Ewing’s sarcoma at multiple vertebrae: A case report EWING’S SARCOMA AT MULTIPLE VERTEBRAE: A CASE REPORT

Hoang Van Lan Duc, Vuong Kim Ngan, Nguyen Hong Hai

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Abstract

Ewing’s sarcoma is a malignant primitive bone tumor, commonly seen in children and the young in their second decade at the metaphysis of long bones. Ewing’s sarcoma, at 2 regions of the spine is rare, only accounts for 10% of spinal Ewing’s sarcoma cases. We reported a 37 year old male with complaint of cervical spine pain and then progressed to paralysis of both lower extremities and weakness of both arms. On CT scanner and MRI imaging, there were numerous lytic bone lesions at the cervical and thoracic spine, suggestive of metastases. Biopsy of the cervical spine was performed and the diagnosis of Ewing’s sarcoma was confirmed by histopathology and immunohistochemistry. Multiple Ewing’s sarcoma lesions at the spine is uncommon and difficult to distinguish with other multiple spinal lesions such as metastases and multiple myeloma, so histopathology and immunohistochemistry are essential for a final diagnosis.

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