Agrawal Alok Chandra, Yadav Sandeep Kumar, Ojha Mukund Madhav, Rakshit J
Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
J Orthop Case Rep. 2020 Nov;10(8):27-29. doi: 10.13107/jocr.2020.v10.i08.1844.
Ewing sarcoma is a malignant neoplasm occurring usually in bones such as femur, tibia, and iliac wing. We are here reporting a case of same arising from scapula. Of all the tumors arising from scapula, Ewing's sarcoma contributed to only 8%.
A male patient presented to us with pain and swelling over right scapular region. After initial investigation, biopsy was performed. Biopsy reveals uniform small-sized cells arranged in layers with high nucleus to cytoplasmic ratio. Provisional diagnosis of Ewing sarcoma was made which was later confirmed on immunohistochemistry. The patient underwent planned surgery after neoadjuvant chemotherapy, and swelling along with partial scapula was resected.
Although Ewing sarcoma is common neoplasm, it rarely arises from flat bone-like scapula. Henceforth, reporting of such a case is not only imperative but also mandatory.
尤因肉瘤是一种通常发生于股骨、胫骨和髂骨翼等骨骼的恶性肿瘤。我们在此报告一例起源于肩胛骨的尤因肉瘤病例。在所有起源于肩胛骨的肿瘤中,尤因肉瘤仅占8%。
一名男性患者因右肩胛区疼痛和肿胀前来就诊。初步检查后进行了活检。活检显示细胞大小均匀,呈层状排列,核质比高。初步诊断为尤因肉瘤,后经免疫组化确诊。患者在新辅助化疗后接受了计划性手术,切除了肿胀部位及部分肩胛骨。
尽管尤因肉瘤是常见的肿瘤,但很少起源于肩胛骨这样的扁骨。因此,报告此类病例不仅势在必行,而且是必须的。