A Unique Case of Primary Ewing's Sarcoma of the Cervical Spine in a 53-Year-Old Male: A Case Report and Review of the Literature

Marshall T Holland; Oliver E Flouty; Liesl N Close; Chandan G Reddy; Matthew A Howard

doi:10.1155/2015/402313

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A Unique Case of Primary Ewing's Sarcoma of the Cervical Spine in a 53-Year-Old Male: A Case Report and Review of the Literature

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A Unique Case of Primary Ewing's Sarcoma of the Cervical Spine in a 53-Year-Old Male: A Case Report and Review of the Literature

Marshall T Holland, Oliver E Flouty, Liesl N Close, Chandan G Reddy and Matthew A Howard

Case reports in medicine, Vol.2015, pp.402313-6

2015

DOI: 10.1155/2015/402313

PMCID: PMC4352905

PMID: 25802527

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Abstract

Extraskeletal Ewing's sarcoma (EES) is a rare presentation, representing only 15% of all primary Ewing's sarcoma cases. Even more uncommon is EES presenting as a primary focus in the spinal canal. These rapidly growing tumors often present with focal neurological symptoms of myelopathy or radiculopathy. There are no classic characteristic imaging findings and thus the physician must keep a high index of clinical suspicion. Diagnosis can only be definitively made by histopathological studies. In this report, we discuss a primary cervical spine EES in a 53-year-old man who presented with a two-month history of left upper extremity pain and acute onset of weakness. Imaging revealed a cervical spinal canal mass. After undergoing cervical decompression, histopathological examination confirmed a diagnosis of Ewing's sarcoma. A literature search revealed fewer than 25 reported cases of primary cervical spine EES published in the past 15 years and only one report demonstrating this pathology in a patient older than 30 years of age (age = 38). Given the low incidence of this pathology presenting in this age group and the lack of treatment guidelines, each patient's plan should be considered on a case-by-case basis until further studies are performed to determine optimal evidence based treatment.

Case Report

Details

Title: Subtitle: A Unique Case of Primary Ewing's Sarcoma of the Cervical Spine in a 53-Year-Old Male: A Case Report and Review of the Literature
Creators: Marshall T Holland - Department of Neurosurgery, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52246, USA
Oliver E Flouty - Department of Neurosurgery, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52246, USA
Liesl N Close - Department of Neurosurgery, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52246, USA
Chandan G Reddy - Department of Neurosurgery, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52246, USA
Matthew A Howard - Department of Neurosurgery, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52246, USA
Resource Type: Journal article
Publication Details: Case reports in medicine, Vol.2015, pp.402313-6
DOI: 10.1155/2015/402313
PMID: 25802527
PMCID: PMC4352905
NLM abbreviation: Case Rep Med
ISSN: 1687-9627
eISSN: 1687-9635
Publisher: Hindawi Publishing Corporation
Language: English
Date published: 2015
Academic Unit: Neurology; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
Record Identifier: 9984013922202771

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