Key result
A 4-year-old boy with Ewing's sarcoma of the rib, initially presenting with pneumonia-like symptoms, showed significant radiological improvement after two cycles of VIDE chemotherapy.
Case Report (n=1)
No
Highlights the importance of careful radiographic scrutiny in atypical presentations of Ewing's sarcoma in young children.
Atypical Ewing sarcoma in a toddler with pneumonia-like symptoms warrants broader differentials in refractory cases; leaves open whether early imaging improves outcomes.
Although rare, the Ewing's sarcoma family of tumors represents the second most common primary bone malignancy that typically occurs in adolescents and young adults aged 10-25 years, presenting with localized pain and swelling of a long bone. We report a case of Ewing's sarcoma of rib in a four years old child that presented with acute onset of fever, cough, shortness of breath and was initially treated as pneumonia. Although the patient did not belong to typical demography and the symptoms were suggestive of infective pathology, careful scrutiny of the radiographic findings led to further investigations and diagnosis of Ewing's sarcoma of rib after correlating computerized tomography scan findings with immunohistochemistry reports.
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Kunwar et al. (2021) conducted a case report in Ewing's Sarcoma of Rib (n=1). VIDE chemotherapy (vincristine, ifosfamide, doxorubicin, etoposide) and Mesna was evaluated on Radiological response. A 4-year-old boy with Ewing's sarcoma of the rib, initially presenting with pneumonia-like symptoms, showed significant radiological improvement after two cycles of VIDE chemotherapy.
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