Limits...
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.

Show MeSH

Related in: MedlinePlus

(A, B) Second preoperative computed tomography and magnetic resonance imaging showing recurrence of the tumor on the right side of the spine. (C) Preoperative vertebral tumor embolization. (D, E) Postoperative radiograph showing the titanium mesh and single pedicle screw.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4554126&req=5

Figure 4: (A, B) Second preoperative computed tomography and magnetic resonance imaging showing recurrence of the tumor on the right side of the spine. (C) Preoperative vertebral tumor embolization. (D, E) Postoperative radiograph showing the titanium mesh and single pedicle screw.

Mentions: The patient visited the hospital again on August 8, 2008, because of progressively worsening pain in his waist and myasthenia of his limbs for 4 weeks. The results of CT and MRI (Figure 4A and B) showed local tumor recurrence limited to the right side of his vertebra. Accordingly, we performed a second surgery. Tumor blood vessel embolism was performed preoperatively (Figure 4C), and the recurrent tumor, measuring 5 × 5 × 4 cm, was excised. The tumor was only partly excised because it had invaded the psoas major muscle. We used titanium mesh and a single pedicle screw to fix the vertebra, and bone cement to enhance the connection (Figure 4D and E). The patient was transfused with 2600 mL of blood.


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)

(A, B) Second preoperative computed tomography and magnetic resonance imaging showing recurrence of the tumor on the right side of the spine. (C) Preoperative vertebral tumor embolization. (D, E) Postoperative radiograph showing the titanium mesh and single pedicle screw.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: (A, B) Second preoperative computed tomography and magnetic resonance imaging showing recurrence of the tumor on the right side of the spine. (C) Preoperative vertebral tumor embolization. (D, E) Postoperative radiograph showing the titanium mesh and single pedicle screw.
Mentions: The patient visited the hospital again on August 8, 2008, because of progressively worsening pain in his waist and myasthenia of his limbs for 4 weeks. The results of CT and MRI (Figure 4A and B) showed local tumor recurrence limited to the right side of his vertebra. Accordingly, we performed a second surgery. Tumor blood vessel embolism was performed preoperatively (Figure 4C), and the recurrent tumor, measuring 5 × 5 × 4 cm, was excised. The tumor was only partly excised because it had invaded the psoas major muscle. We used titanium mesh and a single pedicle screw to fix the vertebra, and bone cement to enhance the connection (Figure 4D and E). The patient was transfused with 2600 mL of blood.

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