Key result
A 65-year-old female with primary gastric Ewing-like sarcoma was managed with neoadjuvant chemotherapy and planned gastrectomy, highlighting the diagnosis and management of this rare condition.
Case Report (n=1)
Highlights the unusual diagnosis and multidisciplinary management of primary gastric Ewing-like sarcoma.
Case of gastric spindled tumor mimicking malignancy cautions against imaging-based diagnosis alone; leaves open broader differential validation in prospective series.
We report the case of a 65-year-old female who presented with a 6-month history of epigastric pain and dyspepsia. Computed tomography of the abdomen and pelvis showed an enhancing nodular lesion and an indeterminate 4 mm lymph node on the lesser curvature of the stomach raising concerns for gastric malignancy. Upper gastrointestinal endoscopy revealed a 10 cm malignant appearing lesion along the gastric lesser curvature. Histopathology demonstrated spindled and small round blue cell tumor with immunohistochemistry staining consistent with Ewing-like sarcoma. After multidisciplinary team discussion the patient was arranged for neoadjuvant chemotherapy with early re-imaging, followed by consideration of gastrectomy. This case highlights the unusual diagnosis of primary gastric Ewing-like sarcoma and the management of this rare condition.
No takes yet. Share an insight, caveat, or question.
Chin et al. (2023) conducted a case report in Primary gastric Ewing-like sarcoma (n=1). Neoadjuvant chemotherapy followed by consideration of gastrectomy was evaluated. A 65-year-old female with primary gastric Ewing-like sarcoma was managed with neoadjuvant chemotherapy and planned gastrectomy, highlighting the diagnosis and management of this rare condition.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: