Humerus Ewing's Sarcoma surgery with ECRT or Extracorporeal radiotherapy

9 years Girl
Distal Humerus Ewing's Sarcoma
Neoadjuvant Chemotherapy
Wide resection and ECRT Irradiated Autologous Bone Fixation

(ECRT :Extracorporeal Radiotherapy
50 Grays 30 min)

Steps:
1.Wide resection of Bone tumor
2.ECRT irradiation to sterile packed removed bone specimen
3.Fixation back of Irradiated tumor autograft bone to host site

Advantage :
1.Useful in diaphyseal tumors
2.Saves adjacent joint
3.Good functional outcomes

3 YEAR FOLLOW UP: GOOD FUNCTIONAL OUTCOME AND NO LOCAL RECURRENCE & NO DISTANT METASTASIS