Key result
18F-FDG PET/CT scanning identifies a rare ileal Ewing sarcoma in a 24-year-old woman.
Why the study?
Rare ileal Ewing sarcoma/primitive neuroectodermal tumor presenting with anemia and intestinal lesion is uncommon and requires diagnostic clarification.
Case Report (n=1)
No
18F-FDG PET/CT can detect rare ileal Ewing sarcoma/primitive neuroectodermal tumors, which may present as an intestinal lump and mimic lymphoma.
May prompt consideration of rare ileal sarcomas in young adults with FDG-avid lesions; leaves open routine diagnostic role pending validation.
A 24-year-old woman who had melena, dizziness, and fatigue and looked pale for 2 months was confirmed to have a microcytic hypochromic anemia in the local hospital. It was further revealed that the patient had splenomegaly and a small intestinal lump, and she was then referred to our hospital. The enhanced CT showed an ileal lesion with enhancement, which showed an increased F-FDG activity in further PET/CT scanning. Lymphoma was therefore suspected, and an uncomplicated surgical resection of the ileal lesion was then performed. Nevertheless, the histopathologic and immunohistochemical examination was finally proved to be a rare ileal Ewing sarcoma/primitive neuroectodermal tumor.
No takes yet. Share an insight, caveat, or question.
Yu et al. (2017) conducted a case report in Ileal Ewing sarcoma/primitive neuroectodermal tumor (n=1). 18F-FDG PET/CT was evaluated on Histopathologic and immunohistochemical diagnosis. 18F-FDG PET/CT scanning of an ileal lesion with increased activity led to the diagnosis of a rare ileal Ewing sarcoma/primitive neuroectodermal tumor in a 24-year-old woman.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: