Case Report
Multifocal Ewing Sarcoma with Pancreatic and Cutaneous Metastasis-A Rare Case Report
SSM Zainul Abidin Sarmast1* and Amrit Kaur2
1Fellow in Onco-Imaging, Department of Radio Diagnosis, Kidwai Memorial Institute of Oncology, Bangalore, India
2Department of Pediatric Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India
2Department of Pediatric Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India
*Corresponding author: SSM Zainul Abidin Sarmast, Fellow in Onco-Imaging, Department of Radio Diagnosis, Kidwai Memorial Institute of Oncology, Bangalore, India Email: zain.sarmast.zs60@gmail.com
Copyright: © 2023 Zainul Abidin Sarmast SSM, et al. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Information: Submission: 14/10/2023; Accepted: 16/11/2023; Published: 21/11/2023
Abstract
We present a rare case of Multifocal Ewing sarcoma with pancreatic and cutaneous metastasis in a 13-year-old boy who initially presented with unprovoked epistaxis and symptoms of chronic rhinosinusitis. Distinguishing Ewing sarcoma from similar sinonasal tumours is challenging through clinical
and radiological assessments alone, necessitating precise histopathological, immunohistochemical, and cytogenetic analyses. The involvement of multiple bones at the time of diagnosis is unusual, and the presence of cutaneous and pancreatic metastasis is exceptionally rare. These unique features pose
diagnostic complexities, highlighting the necessity of a comprehensive, multidisciplinary approach for both diagnosis and management.
Keywords: Ewings Sarcoma; Cutaneous Metastasis; Pancreatic Metastasis; Histopathology; Immunohistochemistry