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Surgery
Intrathoracic Ewing’s sarcoma in an adult masquerading as lung abscess
  1. Raja Lahiri1,
  2. Shubham Singh Rawat1,
  3. Kandhala Srikant2 and
  4. Shalinee Rao3
  1. 1CVTS, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India
  2. 2General Surgery Department, Apollo Hospital, Aragonda, India
  3. 3Pathology and Lab Medicine, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Shubham Singh Rawat; ayushrock.ar{at}gmail.com

Abstract

Intrathoracic extraskeletal Ewing’s sarcoma (EES) is a relatively uncommon malignant tumour. Here, we present a scenario involving an adult man in his 20s with a large intrathoracic EES that manifested as a lung abscess. Preoperative diagnostic tests were inconclusive; hence, the patient underwent an exploratory thoracotomy for the excision of the mass. Histopathology revealed a small round blue cell tumour, and immunohistochemistry, along with fluorescence in situ hybridisation, confirmed the diagnosis of Ewing’s sarcoma. Adjuvant chemoradiotherapy was recommended, but the patient did not comply. A year later, he presented with a recurrence of the intrathoracic mass and subsequently received adjuvant chemotherapy. Currently, he is in remission.

  • Cardiothoracic surgery
  • Respiratory medicine
  • Radiology
  • Pathology
  • Lung cancer (oncology)

https://doi.org/10.1136/bcr-2023-256631

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    Footnotes

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    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—RL, SSR, KS and SR. The following authors gave final approval of the manuscript—RL, SSR, KS and SR.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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