Intra-neural Ewing’s sarcoma of the upper limb mimicking a peripheral nerve tumour. A report of 2 cases

Mohan, Anita T.; Park, Derek Howard; Jalgaonkar, Azal; Alorjani, Mohammed; Aston, William; Briggs, Tim

doi:10.1016/j.bjps.2011.01.010

Cited by 13 publications

(13 citation statements)

References 13 publications

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“…We report here on a patient with extraosseous Ewing sarcoma, which has been described by others [1]; however, an extraosseous Ewing sarcoma originating from peripheral nerves is extremely rare and has been described in only a few case reports [6,7,13,14]. Typically, a Ewing sarcoma is a neoplasm that occurs in children and adolescents, most often patients are in the second decade of life with fewer than 20% of all cases occurring after the age of 20 years [8].…”

Section: Discussion and Treatmentmentioning

confidence: 81%

An Unusual Cause of Lumbar Radiculopathy

Even

Gasbarro

Pantanowitz

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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A 46-year-old man with no significant medical or family history was referred to our tertiary spine surgery clinic for evaluation. He had been having low back pain and right lower extremity pain originating in his posterior thigh and radiating to his foot since lifting some heavy equipment approximately 1 year before his presentation to us. He originally sought treatment with a chiropractor, which did not alleviate his symptoms. He then presented to his primary care physician, who ordered physical therapy, which the patient completed without any relief of his back or leg pain. His primary care physician then ordered MRI of the lumbar spine and sent the patient for epidural steroid injections, which again did not provide any pain relief of low back or right lower extremity pain. The patient also began a course of gabapentin (600 mg orally, three times daily). On further questioning at our clinic, the patient stated that he was being treated for a hamstring strain by his primary care physician ipsilateral to his radicular symptoms for several months. He claimed that the discomfort was exacerbated by riding on his lawnmower or sitting in the car.Physical examination revealed normal strength of the right lower extremity, decreased sensation along the plantar heel and lateral foot, and decreased Achilles reflex. Examination of his thigh in the prone position showed a large, palpable mass in his deep soft tissues and a positive Tinel's sign, which radiated to his foot on palpation. We reviewed his previous MR images of the lumbar spine and subsequently ordered plain radiographs (Fig.

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Section: Discussion and Treatmentmentioning

confidence: 81%

An Unusual Cause of Lumbar Radiculopathy

Even

Gasbarro

Pantanowitz

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…Extensive search of the English literature revealed only isolated case reports in the adult age group. [ 6 7 8 9 ] The handful of reports also give credence to the fact that intra-neural EES outside the cranio-spinal vault is very rarely reported.…”

Section: Discussionmentioning

confidence: 87%

“…The options of nerve excision and delayed grafting are also reported. [ 9 ] This is to avoid neuroma formation at the anastomotic sites, which may create doubt of recurrence. However, we intended to ensure a timely functional recovery so the defect was primarily interposed with a graft.…”

Section: Discussionmentioning

confidence: 99%

Extra-osseous Ewing′s sarcoma of sciatic nerve masquerading as an infected hemangioma: A rare case report

Dhua

Bharathi

Kiran

et al. 2014

J Indian Assoc Pediatr Surg

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“…Primary B‐cell non‐Hodgkin's lymphoma has also been reported, 21,22 having similar imaging features to Case 1. Primary extraskeletal Ewing's sarcoma has also been reported in an intraneural site, most recently in the ulnar and radial nerves 20,21,23 . The imaging features of the mass were also non‐specific, with a heterogenous, lobular mass arising from the nerve.…”

Section: Discussionmentioning

confidence: 99%

“…Primary extraskeletal Ewing's sarcoma has also been reported in an intraneural site, most recently in the ulnar and radial nerves. 20,21,23 The imaging features of the mass were also non-specific, with a heterogenous, lobular mass arising from the nerve. An intranerual site for synovial sarcoma has been described 24,25 and like epithelioid sarcoma, it can show 'triple signal' due to the presence of haemorrhage and calcification, although it has a variable appearance and signal depending on size.…”

Section: Discussionmentioning

confidence: 99%