A Rare Case of Gastric Metastasis in Ewing’s Sarcoma of the Femur

Koti, Krishna Amulya; Backianathan, Selvamani; Sebastian, Patricia; Matthew, Leni Grane; Raam, Mithun; Masih, Dipti

doi:10.1155/2019/2870302

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…On the contrary, we have also detected more various other unusual metastatic sites such as the stomach, pancreas, small bowel, ovary, and brain. 4 – 8 …”

Section: Introductionmentioning

confidence: 99%

“…On the contrary, we have also detected more various other unusual metastatic sites such as the stomach, pancreas, small bowel, ovary, and brain. [4][5][6][7][8] Metastatic Ewing's sarcoma is primarily a severe systemic disease presenting as a diverse spectrum ranging from localized metastases to broadly a disseminated multiorgan disease with varied outcomes. With a single metastasis, the paucity of randomized evidence makes the management further challenging.…”

Section: Introductionmentioning

confidence: 99%

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Intraabdominal lesser sac metastasis from Ewing’s sarcoma: An exceptional localization

Bouhani

Sassi

Zemni

et al. 2021

SAGE Open Medical Case Reports

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Ewing’s sarcoma/primitive neuroectodermal tumor is rare and aggressive with a poor prognosis. Intraabdominal metastases are an uncommon condition. Metastasis in the lesser sac is an exceptional occurrence. To the best of our knowledge, this location has not been described previously. We report a case of a 15-year-old patient treated for Ewing’s sarcoma of the left arm 6 years back. She had developed a suspicious mass in the lesser sac 6 years following her primary tumor. The histopathologic exam revealed a tumor with “small round cells” that were positive for CD99, confirming the relapse of Ewing’s sarcoma. The relapse was successfully managed with chemotherapy and surgery. Intraabdominal, extraintestinal masses in patients treated previously for Ewing’s sarcoma should be considered as Ewing’s sarcoma relapse in the differential diagnosis. We fully describe the management of this atypical relapse, with different components of clinical, radiological, and histological findings.

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“…On the contrary, we have also detected more various other unusual metastatic sites such as the stomach, pancreas, small bowel, ovary, and brain. 4 – 8 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intraabdominal lesser sac metastasis from Ewing’s sarcoma: An exceptional localization

Bouhani

Sassi

Zemni

et al. 2021

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

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Metastasis to the stomach: a systematic review

Ibrahimli,

Aliyev,

Majidli

et al. 2023

F1000Res

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Background: This study reviews the literature on gastric metastases (GM) in terms of diagnosis, treatment, and outcomes. The goal of this study was to provide clinicians with a reliable and beneficial source to understand gastric metastases arising from various primary tumors and to present the growing literature in an easily accessible form. Methods: Articles published in English language from implementation of MEDLINE and Cochrane databases until May 2022 were considered for the systematic review. Articles other than English language, letters to the editor, posters, and clinical images were excluded. Hematogenous and lymphogenic metastases were included whereas direct tumoral invasion and seeding were excluded. Articles and abstracts were analyzed and last selection was done after cross-referencing and by use of defined eligibility criteria. Results: In total 1,521 publications were identified and 170 articles were finally included totaling 186 patients with GM. The median age of patients was 62 years. Gynecologic cancer was the most common cancer type causing GM (67 patients), followed by lung cancer (33 patients), renal cancer (20 patients), and melanoma (19 patients). One of the main treatment methods performed for metastasis was resection surgery (n=62), sometimes combined with chemotherapy (ChT) or immunotherapy. ChT was the other most used treatment method (n=78). Also, immunotherapy was amongst the most preferred treatment options after surgery and ChT (n=10). Conclusions: As 172 case reports were screened in the systematic review from different journals, heterogeneity was inevitable. Some articles missed important information such as complete follow-up or clinical information. Moreover, since all of the included articles were case reports quality assessment could not be performed. Among 172 case reports reviewed, resection surgery was performed the most and was sometimes combined with ChT and immunotherapy. Further research about what type of treatment has the best outcomes for patients with gastric metastases is needed.

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A Rare Case of Gastric Metastasis in Ewing’s Sarcoma of the Femur

Cited by 2 publications

References 12 publications

Intraabdominal lesser sac metastasis from Ewing’s sarcoma: An exceptional localization

Intraabdominal lesser sac metastasis from Ewing’s sarcoma: An exceptional localization

Metastasis to the stomach: a systematic review

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