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Primary Ewing’s Sarcoma of the Sternum in an Adult Male: A Rare Case Report
by
Al-Karaja, Layth
, Halayqa, Iyad M.
, Issa, Majd
, Abosleem, Abedalrahman
, Bdair, Amjad
, Qupp, Salem K.
, Jawabreh, Ola
, Madaka, Seham
, Shawahna, Eman J.
, Awaysa, Asala Mohammad
in
Adult
/ Bone cancer
/ Bone Neoplasms - pathology
/ Bone Neoplasms - secondary
/ Case Report
/ Chemotherapy
/ Humans
/ Male
/ Metastasis
/ Neoadjuvant Therapy
/ Positron-Emission Tomography
/ Sarcoma
/ Sarcoma, Ewing - diagnosis
/ Sarcoma, Ewing - diagnostic imaging
/ Sarcoma, Ewing - pathology
/ Sternum - diagnostic imaging
/ Sternum - pathology
/ Tibia - diagnostic imaging
/ Tibia - pathology
/ Tomography, X-Ray Computed
2024
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Primary Ewing’s Sarcoma of the Sternum in an Adult Male: A Rare Case Report
by
Al-Karaja, Layth
, Halayqa, Iyad M.
, Issa, Majd
, Abosleem, Abedalrahman
, Bdair, Amjad
, Qupp, Salem K.
, Jawabreh, Ola
, Madaka, Seham
, Shawahna, Eman J.
, Awaysa, Asala Mohammad
in
Adult
/ Bone cancer
/ Bone Neoplasms - pathology
/ Bone Neoplasms - secondary
/ Case Report
/ Chemotherapy
/ Humans
/ Male
/ Metastasis
/ Neoadjuvant Therapy
/ Positron-Emission Tomography
/ Sarcoma
/ Sarcoma, Ewing - diagnosis
/ Sarcoma, Ewing - diagnostic imaging
/ Sarcoma, Ewing - pathology
/ Sternum - diagnostic imaging
/ Sternum - pathology
/ Tibia - diagnostic imaging
/ Tibia - pathology
/ Tomography, X-Ray Computed
2024
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Primary Ewing’s Sarcoma of the Sternum in an Adult Male: A Rare Case Report
by
Al-Karaja, Layth
, Halayqa, Iyad M.
, Issa, Majd
, Abosleem, Abedalrahman
, Bdair, Amjad
, Qupp, Salem K.
, Jawabreh, Ola
, Madaka, Seham
, Shawahna, Eman J.
, Awaysa, Asala Mohammad
in
Adult
/ Bone cancer
/ Bone Neoplasms - pathology
/ Bone Neoplasms - secondary
/ Case Report
/ Chemotherapy
/ Humans
/ Male
/ Metastasis
/ Neoadjuvant Therapy
/ Positron-Emission Tomography
/ Sarcoma
/ Sarcoma, Ewing - diagnosis
/ Sarcoma, Ewing - diagnostic imaging
/ Sarcoma, Ewing - pathology
/ Sternum - diagnostic imaging
/ Sternum - pathology
/ Tibia - diagnostic imaging
/ Tibia - pathology
/ Tomography, X-Ray Computed
2024
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Primary Ewing’s Sarcoma of the Sternum in an Adult Male: A Rare Case Report
Journal Article
Primary Ewing’s Sarcoma of the Sternum in an Adult Male: A Rare Case Report
2024
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Overview
Ewing’s sarcoma, a rare primary bone malignancy primarily affecting adolescents and young adults, typically manifests in the pelvic bones and femur. Primary Ewing’s sarcoma of the sternum is exceptionally rare, constituting less than 1% of cases. We present a case of a 34-year-old man with a 2-month history of anterior chest wall pain initially attributed to muscular spasm. Subsequently, the patient developed a palpable mass and imaging demonstrated a mid-lower sternal lesion with cortical destruction and soft tissue involvement, confirmed as Ewing’s sarcoma on biopsy. In addition, a suspicious lesion was identified in the left distal tibia, which was histologically confirmed as a metastasis from the primary sternal sarcoma. Neoadjuvant chemotherapy preceded partial sternotomy with rib resection and reconstruction, achieving clear surgical margins. Postoperative evaluation showed shrinkage in the sternal lesion and near-resolution of the tibial metastasis. Subsequent chemotherapy cycles resulted in no evidence of the disease on the follow-up positron emission tomography scan. This case underscores the diagnostic challenges of primary sternal Ewing’s sarcoma and emphasizes the importance of early recognition and comprehensive evaluation in managing such rare presentations.
Publisher
SAGE Publications,Sage Publications Ltd,SAGE Publishing
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