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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

(A) Third preoperative radiography, (B) computed tomography, and (C) magnetic resonance imaging showing tumor recurrence on the left part of the pedicle.
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Figure 5: (A) Third preoperative radiography, (B) computed tomography, and (C) magnetic resonance imaging showing tumor recurrence on the left part of the pedicle.

Mentions: On February 25, 2010, the patient could not easily move both of his lower extremities because of dysuric syndrome. On physical examination, muscle strength of the right lower limb was scored as 2 and that of the left was scored as 1. Results of other examinations showed that the tumor had recurred locally, mainly around the pedicle (Figure 5). A third surgery was performed to decompress the posterior vertebra and excise the tumor. Lumbar posterior fixation was then performed. Considering the bolts in the front of the first and third centrum, we chose a shorter pedicle screw to fix the vertebra (Figure 6). The surgery was successful, although the patient lost 1000 mL of blood and was transfused with 700 mL of blood. After 4 weeks, the patient experienced bilateral lower limb recovery and was able to walk with a supporting apparatus. The patient was alive as of September 25, 2014, and his bodily functions had recovered well. The patient provided written informed consent for the publication of these case details, and the consent procedure was approved by the Human Ethics and Research Ethics committees of the Fourth Hospital of Hebei Medical University, Hebei, China.


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) Third preoperative radiography, (B) computed tomography, and (C) magnetic resonance imaging showing tumor recurrence on the left part of the pedicle.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: (A) Third preoperative radiography, (B) computed tomography, and (C) magnetic resonance imaging showing tumor recurrence on the left part of the pedicle.
Mentions: On February 25, 2010, the patient could not easily move both of his lower extremities because of dysuric syndrome. On physical examination, muscle strength of the right lower limb was scored as 2 and that of the left was scored as 1. Results of other examinations showed that the tumor had recurred locally, mainly around the pedicle (Figure 5). A third surgery was performed to decompress the posterior vertebra and excise the tumor. Lumbar posterior fixation was then performed. Considering the bolts in the front of the first and third centrum, we chose a shorter pedicle screw to fix the vertebra (Figure 6). The surgery was successful, although the patient lost 1000 mL of blood and was transfused with 700 mL of blood. After 4 weeks, the patient experienced bilateral lower limb recovery and was able to walk with a supporting apparatus. The patient was alive as of September 25, 2014, and his bodily functions had recovered well. The patient provided written informed consent for the publication of these case details, and the consent procedure was approved by the Human Ethics and Research Ethics committees of the Fourth Hospital of Hebei Medical University, Hebei, China.

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