Key result
A 24-year-old male with a rare primary Ewing's sarcoma of the cervical vertebra was successfully treated with partial resection, chemotherapy, and radiotherapy, remaining tumor-free at 18 months.
Case Report (n=1)
No
This report highlights a rare presentation of primary Ewing's sarcoma in the cervical vertebra mimicking a mastoid abscess.
Cranial Ewing's sarcoma may mimic mastoid abscess; leaves open need for biopsy in atypical presentations.
Ewing's sarcoma is a malignant primary bone tumor primarily seen in the long bones. Primary Ewing's sarcoma of the cranium is quite uncommon occurring in 1% of the cases. We report the occurrence of this rare lesion in a 24-year-old male presenting with progressively increasing swelling in left mastoid region mimicking a mastoid abscess which was later diagnosed on Fine needle aspiration cytology (FNAC) as a small round cell tumor as Ewing's sarcoma. Contrast enhanced computed tomography (CECT) revealed a typical moth eaten appearance in the first and second cervical vertebra.
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Chhabra et al. (2014) conducted a case report in Primary Ewing's sarcoma of cervical vertebra (n=1). Partial resection, chemotherapy, and local radiotherapy was evaluated on Clinical outcome (tumor recurrence and neurological function). A 24-year-old male with a rare primary Ewing's sarcoma of the cervical vertebra was successfully treated with partial resection, chemotherapy, and radiotherapy, remaining tumor-free at 18 months.
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