Sarcom Ewing extrascheletal sub forma unei mase tumorale la nivelul gâtului - prezentare de caz

Cancer sarcoma ewing

It has been reported a low incidence in the head and neck.

Centrul de tratare Sarcom

Magnetic resonance imaging was useful in preoperative evaluation. The treatment consisted in radical resection, and the histological analysis completed the diagnosis.

cancer sarcoma ewing

The postoperative management consisted in a combination of chemotherapy for systemic control and irradiation for local control. A very few cases of cervical tumors were reported. Radical resection followed by radio-chemotherapy has good results in the treatment of this rare tumor.

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Sarcomul Ewing extrascheletal este o tumoră rară, de origine mezenchimală, similară din punct de ve­de­re histologic cu osteosarcomul Ewing. Este o tumoră rar întâlnită la nivelul capului și gâtului. Autorii pre­zin­tă un caz de sarcom Ewing extrascheletal sub forma unei tumori laterocervicale stângi situate posterior de muș­chiul sternocleidomastoidian.

Examenul RMN a fost util în evaluarea preoperatorie. Tratamentul a constat în excizia ra­di­cală a tumorii laterocervicale, urmată de examen his­to­pa­to­logic.

Sarcom Ewing extrascheletal sub forma unei mase tumorale la nivelul gâtului - prezentare de caz

Postoperator oxiuros antiparasitario efectuat chimioterapie pen­tru controlul sistemic și radioterapie pentru controlul lo­­cal. Sarcomul Ewing ex­­trascheletal este o tumoră rară, cu evoluție agresivă. În li­te­ratură au fost raportate puține cazuri de sarcoame Ewing ex­trascheletale prezentate sub forma unor tumori la­te­ro­cervicale.

Excizia radicală urmată de radiochimioterapie are cele mai bune rezultate în tratamentul acestor tumori.

Sarcom Ewing extrascheletal sub forma unei mase tumorale la nivelul gâtului - prezentare de caz

It was first recognized cancer sarcoma ewing Tefft et al. According to Chao et al.

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In head and neck, EES is usually identified in nasal or oral cavities, sinuses or soft tissues 6. Cancer sarcoma ewing is characterized by an aggressive course and high rate of recurrences.

Sarcomul Ewing

The treatment consists in a combination of surgery, radiotherapy and chemotherapy. Case report A year-old female was admitted in ENT Department with a 2-month history of painless posterior left laterocervical mass with rapid evolution Figure 1.

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Figure 1. Figure 2.

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MRI transversal plane The videofibroscopy of rhinopharynx, hypopharynx and larynx was normal. The MRI showed a posterior laterocervical solid mass, with a maximum diameter of 8 cm Figure 2 and Figure 3. Figure 3. MRI coronal plane Figure 4. Intraoperative image after complete removal of the tumor Figure 5.

  • Cauze și factori de risc Cauza exactă a sarcomului lui Ewing nu este clară.
  • Sarcomul Ewing - semne, cauze si tratament - Cancer
  • În funcție de tipul de cancer osos, se utilizează diferite metode de tratament.
  • Ему было более или менее известно, что за этим скрывается; теперь настало время знать .

  • Centrul de tratare Sarcom | Anadolu Medical Center
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The patient at 2 months after surgery - local recurrence The patient underwent surgical excision followed by histopathological exam Figure 4. The patient underwent 6 chemotherapy cycles with vincristine, doxorubicin and cyclophosphamide, followed by external radiotherapy.

Centrul de tratare Sarcom

Figure 6. PET-CT scan 2 months after surgery - sagittal view At 10 months after initial diagnosis, the patient presented with incomplete resolution of the tumor Figure 8severe radiomucositis grade 4 WHO and was cancer sarcoma ewing in the oncology department.

Figure 8. EES in head and neck region must be differentiated from lymphoma, rhabdomyosarcoma, poorly differentiated salivary gland tumors, olfactory neuroblastoma, undifferentiated nasopharyngeal carcinoma and melanoma. Case particularities The localization of EES cancer sarcoma ewing the neck is very rare. Comorbidities - immunosuppression caused by chronic use of prednisolone could be an etiologic factor.

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Delay of the radiotherapy after surgery 2 months caused tumor recurrence, EES being a very aggressive type of tumor. Bibliografie 1. Head Neck Cancer sarcoma ewing. Hum Pathol.

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Eur J Cancer Clin Oncol. J Laryngol Otol. Windfuhr JP. Primitive neuroectodermal tumor of the head and neck: incidence, diagnosis, and management. Ann Otol Rhinol Laryngol.

Sarcoma, A glimpse at a rare cancer