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Primary cutaneous Ewing sarcoma presenting as a chest wall lesion
  1. Jie Hua Xu1,
  2. Vindya Abeysinghe1,
  3. Anne Louise Ryan2,
  4. Kishore Sieunarine1,3
  1. 1Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Princess Margaret Hospital for Children, Perth, Australia
  3. 3West Coast Vascular, Perth, Western Australia, Australia
  1. Correspondence to Dr Jie Hua Xu, jemxu90{at}


A 10-year-old boy presents with a rare case of primary cutaneous Ewing sarcoma. The left-sided chest wall lesion was initially thought to be a benign haemangioma and treated with cryotherapy. Within 4 months, the lesion returned and post excision was found to be primary cutaneous Ewing sarcoma on histology. Few cases of primary cutaneous Ewing sarcoma exist in the literature, and although it is a rare differential for paediatric skin lesions, it is an important consideration due to the associated mortality risk in this young cohort.

  • chemotherapy
  • paediatric oncology
  • skin cancer
  • paediatric surgery
  • surgical oncology
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  • Contributors JX performed the literature review and analysed the current data, drafted and revised the paper. She is the corresponding author. VA reviewed and revised the paper. KS initiated the collaborative project, analysed current data, reviewed and revised the paper. ALR performed the literature review and analysed the current data, reviewed and revised the paper. All authors gave final approval before submission.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

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

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