Periosteal Ewing Sarcoma in a 65-Year-Old Man: A Case Report. Issue 2 (April 2017)

• Record Type: Journal Article
• Authors: Bedard, Julia; Burns, Jessica; de Comas, Amalia
• Is Part Of: JBJS case connector. Volume 7:Issue 2(2017)
• Publication Date: 2017-04
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.16.00168
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Ewing sarcoma is predominantly a pediatric bone malignancy involving the medullary canal. Periosteal Ewing sarcoma, a subtype arising from the periosteum, is exceedingly rare, with approximately 30 reported cases in the literature. We describe a case of periosteal Ewing sarcoma in the tibia of a 65-year-old man. Magnetic resonance imaging revealed a heterogeneous mass in the proximal tibial diaphysis without medullary involvement. The diagnosis was confirmed histologically after biopsy. The patient was treated with neoadjuvant chemotherapy, radical resection, and adjuvant chemotherapy. Conclusion: To the best of our knowledge, this case report describes the oldest documented patient with periosteal Ewing sarcoma.