An atypical presentation of Ewing’s sarcoma of the scapula in an elderly male: A case report

Ewing’s sarcoma (ES) is a malignant bone tumor typically found in children, with a rare incidence in adults. This case highlights an unusual occurrence of ES in a 54-year-old male who presented with pain and swelling in his left scapula. Imaging showed a highly aggressive bone tumor with metastasis to the lungs. A definitive diagnosis was established through histopathology and immunohistochemical (IHC) studies, and the patient has since responded positively to chemotherapy. While ES in the scapula is exceedingly rare – fewer than 80 cases have been reported – the disease often can remain undetected until it reaches advanced stages. Diagnosis hinges on detailed histological and IHC analysis, and treatment generally includes chemotherapy, with surgery or radiotherapy based on tumor characteristics. This case emphasizes the need to include ES as a potential diagnosis in older patients with scapular tumors, even though it is typically seen in younger individuals.