Adult Primary Spinal Epidural Extraosseous Ewing's Sarcoma: A Case Report and Review of the Literature

被引：6

作者：

Bustoros, Mark ^{[1
]}

Thomas, Cheddhi ^{[2
]}

Frenster, Joshua ^{[1
]}

Modrek, Aram S. ^{[1
]}

Bayin, N. Sumru ^{[1
]}

Snuderl, Matija ^{[2
,3
,4
]}

Rosen, Gerald ^{[3
,5
]}

Schiff, Peter B. ^{[3
,6
]}

Placantonakis, Dimitris G. ^{[1
,3
,4
,7
]}

机构：

[1] NYU, Sch Med, Dept Neurosurg, New York, NY 10016 USA

[2] NYU, Sch Med, Dept Pathol, New York, NY 10016 USA

[3] NYU, Langone Med Ctr, Perlmutter Canc Ctr, New York, NY 10016 USA

[4] NYU, Langone Med Ctr, Brain Tumor Ctr, New York, NY 10016 USA

[5] NYU, Sch Med, Dept Med, New York, NY 10016 USA

[6] NYU, Sch Med, Dept Radiat Oncol, New York, NY 10016 USA

[7] NYU, Sch Med, Kimmel Ctr Stem Cell Biol, New York, NY 10016 USA

来源：

CASE REPORTS IN NEUROLOGICAL MEDICINE | 2016年 / 2016卷

关键词：

D O I：

10.1155/2016/1217428

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background. Extraosseous Ewing's sarcoma in the spinal epidural space is a rare malignancy, especially in adults. Case Presentation. A 40-year-old male presented with back pain and urinary hesitancy. MRI revealed a thoracic extradural mass with no osseous involvement. He underwent surgery for gross total resection of the mass, which was diagnosed as Ewing's sarcoma. He was subsequently treated with chemoradiotherapy. He remains disease-free 1 year after surgery. Review of the literature indicated only 45 previously reported cases of spinal epidural extraosseous Ewing's sarcoma in adults. Conclusions. Extraosseous Ewing's sarcoma in the spinal epidural space is a rare clinical entity that should be included in the differential for spinal epidural masses. Its treatment is multidisciplinary but frequently requires surgical intervention due to compressive neurologic symptoms. Gross total resection appears to correlate with improved outcomes.

引用

页数：8

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