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Dilemma in diagnosis and management of rare primary pleural Ewing’s sarcoma with synchronous limited metastatic disease
  1. Abhijith Bhaskaran1,
  2. Pooja Sethi1,
  3. Pampa Ch Toi2 and
  4. Prasanth Penumadu3
  1. 1Department of Radiation Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India
  2. 2Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Puducherry, India
  3. 3Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India
  1. Correspondence to Dr Pooja Sethi; docpujasethi{at}gmail.com

Abstract

We present a case of a 34-year-old woman who presented with complaints of fever, cough and dyspnoea of 2 months’ duration. On evaluation, she was diagnosed with a rare entity primary pleural Ewing’s sarcoma with synchronous metastases to mediastinal, supraclavicular nodes and single vertebra. Due to the rarity of this entity and lack of treatment guidelines on extraosseous Ewing’s sarcoma, the patient was managed with a combination of multiagent chemotherapy, surgery and radiotherapy as per standard guidelines for skeletal Ewing’s sarcoma. We present this case to discuss differential diagnoses and management dilemmas encountered on the use of local modalities such as surgery and radiotherapy for control of primary and metastatic sites.

  • oncology
  • radiotherapy
  • pathology
  • surgical oncology

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Footnotes

  • Contributors AB and PS provided case content and review of literature. PCT contributed for image selection and description. PS, PCT and PP contributed for script editing and final review. AB obtained patient consent.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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