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Revision Surgical Treatment of a Second Lumbar Ewing Sarcoma: A Report of a Rare Case.

Feng H, Wang J, Guo P, Xu J, Feng J - Medicine (Baltimore) (2015)

Bottom Line: Tumor resection was performed, followed by chemotherapy and radiotherapy; pathology confirmed the diagnosis of ES.After surgery, the tumor recurred twice with progressive symptoms, meriting repeated excisional surgery.At the 4-year follow-up, the patient showed apparent improvement, with return of function and strength and resolution of pain.We discuss its clinical features and treatment in the light of the current knowledge.

View Article: PubMed Central - PubMed

Affiliation: From the Department of Orthopedics, The Fourth Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, P. R. China.

ABSTRACT
We report a case of a 58-year-old man who presented initially with lumbar pain.According to radiography, computed tomography, magnetic resonance imaging, and bone biopsy results, Ewing sarcoma (ES) was diagnosed. Tumor resection was performed, followed by chemotherapy and radiotherapy; pathology confirmed the diagnosis of ES. After surgery, the tumor recurred twice with progressive symptoms, meriting repeated excisional surgery. At the 4-year follow-up, the patient showed apparent improvement, with return of function and strength and resolution of pain.We discuss its clinical features and treatment in the light of the current knowledge.

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Related in: MedlinePlus

Postoperative radiography. The vertebra was fixed with titanium mesh and a single pedicle screw and was padded with bone cement.
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Figure 3: Postoperative radiography. The vertebra was fixed with titanium mesh and a single pedicle screw and was padded with bone cement.

Mentions: The patient was a 58-year-old man who had experienced low back pain for 3 months. He had been diagnosed and treated for lumbar intercalated disc herniation at other hospitals. However, his symptoms had worsened, with a decrease in lower limb muscle strength and neurogenic bladder and bowel dysfunction. The patient was transferred to our hospital and examined with radiography, computed tomography (CT), magnetic resonance imaging (MRI), 99mTc-methylene diphosphonate bone scan (Figure 1), and bone biopsy (Figure 2). According to the results of these tests, ES occupying the second lumbar vertebra with paraplegia was diagnosed. The first surgery was performed on July 8, 2005. Vertebral tumor blood vessel embolism was performed preoperatively, and the left centrum vertebra was found to be in poor condition. An improved kidney incision was made, and the vertebra was fixed with titanium mesh and a single pedicle screw and padded with bone cement (Figure 3). The patient was transfused with 2800 mL of blood. The patient was treated with a neurotrophic drug postoperatively, and pathology confirmed the diagnosis of ES. The patient recovered within 6 weeks. Systemic chemotherapy and radiation were administered after the surgery.


Revision Surgical Treatment of a Second Lumbar Ewing Sarcoma: A Report of a Rare Case.

Feng H, Wang J, Guo P, Xu J, Feng J - Medicine (Baltimore) (2015)

Postoperative radiography. The vertebra was fixed with titanium mesh and a single pedicle screw and was padded with bone cement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4554126&req=5

Figure 3: Postoperative radiography. The vertebra was fixed with titanium mesh and a single pedicle screw and was padded with bone cement.
Mentions: The patient was a 58-year-old man who had experienced low back pain for 3 months. He had been diagnosed and treated for lumbar intercalated disc herniation at other hospitals. However, his symptoms had worsened, with a decrease in lower limb muscle strength and neurogenic bladder and bowel dysfunction. The patient was transferred to our hospital and examined with radiography, computed tomography (CT), magnetic resonance imaging (MRI), 99mTc-methylene diphosphonate bone scan (Figure 1), and bone biopsy (Figure 2). According to the results of these tests, ES occupying the second lumbar vertebra with paraplegia was diagnosed. The first surgery was performed on July 8, 2005. Vertebral tumor blood vessel embolism was performed preoperatively, and the left centrum vertebra was found to be in poor condition. An improved kidney incision was made, and the vertebra was fixed with titanium mesh and a single pedicle screw and padded with bone cement (Figure 3). The patient was transfused with 2800 mL of blood. The patient was treated with a neurotrophic drug postoperatively, and pathology confirmed the diagnosis of ES. The patient recovered within 6 weeks. Systemic chemotherapy and radiation were administered after the surgery.

Bottom Line: Tumor resection was performed, followed by chemotherapy and radiotherapy; pathology confirmed the diagnosis of ES.After surgery, the tumor recurred twice with progressive symptoms, meriting repeated excisional surgery.At the 4-year follow-up, the patient showed apparent improvement, with return of function and strength and resolution of pain.We discuss its clinical features and treatment in the light of the current knowledge.

View Article: PubMed Central - PubMed

Affiliation: From the Department of Orthopedics, The Fourth Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, P. R. China.

ABSTRACT
We report a case of a 58-year-old man who presented initially with lumbar pain.According to radiography, computed tomography, magnetic resonance imaging, and bone biopsy results, Ewing sarcoma (ES) was diagnosed. Tumor resection was performed, followed by chemotherapy and radiotherapy; pathology confirmed the diagnosis of ES. After surgery, the tumor recurred twice with progressive symptoms, meriting repeated excisional surgery. At the 4-year follow-up, the patient showed apparent improvement, with return of function and strength and resolution of pain.We discuss its clinical features and treatment in the light of the current knowledge.

Show MeSH
Related in: MedlinePlus