Ewing's Sarcoma Chest

Abstract

The aim of this review article was to highlight clinical presentations, diagnosis and
treatment approaches of thoracic cavity Ewing's sarcoma. This was a prospective study. Ewing's
sarcoma is the second most frequent bone tumour among children and young adults. It comprises
10-15% of all bone tumours. Ewing's sarcoma arises intramedullary. The frequency of rib
involvement follows that of the femur, the pelvic bones, the fibula, the humerus and the tibia.
Between January 1999 and December 2005, 5 patients of Ewing s sarcoma chest were dealt with.
The age range was 6-12 years.
All the 5 patients had huge masses compressing the lung and other vital structures in the chest.
One patient was on ventilatory support preoperatively. Thoracotomy was done in 3 patients prior
to chemotherapy and later on after chemotherapy in 2 patients. Post operative stay range was 7-
15 days. No hospital mortality occurred.
This article demonstrates the most effective and immediate treatment in case of Ewing's sarcoma
chest. The three cases that had to be operated urgently before the chemotherapy survived and
received chemo-radiation later on thus signifying the importance of timely and proper surgery.
Referral to proper hospital is mandatory who cater these kinds of cases.