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A Bump on the Head - An Unusual Presentation of Extraosseus Ewing Sarcoma in a 3-month-old Male
A Bump on the Head - An Unusual Presentation of Extraosseus Ewing Sarcoma in a 3-month-old Male
T Dao MD†, T Beydoun DO†, P Cornejo MD†, S Taylor PA‡, D Carpentieri MD‡, M Patel MD†
Department of Medical Imaging†, Department of Pathology‡
Phoenix Children's Hospital
Phoenix, Arizona, USA
Abstract:
Extraosseus Ewing sarcoma arising in the head and neck is extremely rare, and even more rare in the neonatal period. We present a case of extraosseus Ewing sarcoma involving the right eyelid in a 3-month-old male with a progressively enlarging mass involving the right forehead that was present since 2 weeks of age. The mass was initially thought to be a hemangioma and treated as such, but did not respond to propranolol and steroid treatment. Excisional biopsy was performed and pathology demonstrated Ewing sarcoma. Extraosseus Ewing sarcoma is a rare entity in the neonatal population and should be included in the differential diagnosis of head and neck soft tissue masses despite patient age.
References
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2. Javery O, Krajewski K, O'Regan K et-al. A to Z of extraskeletal Ewing sarcoma family of tumors in adults: imaging features of primary disease, metastatic patterns, and treatment responses. AJR Am J Roentgenol. 2011;197 (6): W1015-22. http://www.ajronline.org/doi/a....bs/10.2214/AJR.11.66
3. El Weshi A, Allam A, Ajarim D et-al. Extraskeletal Ewing's sarcoma family of tumours in adults: analysis of 57 patients from a single institution. Clin Oncol (R Coll Radiol). 2010;22 (5): 374-81. http://www.clinicaloncologyonl....ine.net/article/S093
4. Kennedy JG, Eustace S, Caulfield R et-al. Extraskeletal Ewing's sarcoma: a case report and review of the literature. Spine. 2000;25 (15): 1996-9. http://www.ncbi.nlm.nih.gov/pubmed/10908947
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