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足部原发性骨外尤因肉瘤伴广泛骨骼和肺转移:一例罕见病例报告

Primary Extraskeletal Ewing sarcoma of the foot with extensive skeletal and pulmonary metastasis: A rare case report.

作者信息

Shrateh Oadi N, Jobran Afnan W M, Owienah Haneen, Sweileh Thaer, Abulihya Mohand, Natsheh Motaz A, Abu-Dayyah Nazeeh

机构信息

Al-Quds University-School of Medicine, Abu-Dis, East Jerusalem, Palestine.

Radiology Department, Al-Istishari Arab Hospital, Ramallah, West Bank, Palestine.

出版信息

Ann Med Surg (Lond). 2022 Sep 21;82:104752. doi: 10.1016/j.amsu.2022.104752. eCollection 2022 Oct.

Abstract

INTRODUCTION

First -degree cutaneous extraskeletal Ewing's sarcomas (ESs) are incredibly uncommon skin-specific tumors that often present as a single, tiny lesion that is restricted to the mid-to-deep dermis or involves the subcutis. ESs can be clinically and pathologically misdiagnosed because of their rarity and physical resemblance to other cutaneous cancers.

CASE PRESENTATION

A 47-year-old nonsmoking woman was admitted after being transferred from a nearby hospital to check her right foot pain that had been present for three months and was significantly numbing the same side. Only a few lone cases or brief series are reported in the current literature. The typical description of ESs is that they are tiny masses with positive clinical behavior.

DISCUSSION

Despite being a rather common location, only infrequent and minor ESs of the foot are present. After the recommended operation and subsequent histology analysis, we identified this uncommon sort of tumors.

CONCLUSION

Although it's rare, it's very important to consider this tumor in the differential diagnosis of foot pain with/without visible and/or palpable cutaneous lesion.

摘要

引言

原发性皮肤外尤文肉瘤(ES)是极其罕见的皮肤特异性肿瘤,通常表现为单个微小病变,局限于真皮中层至深层或累及皮下组织。由于其罕见性以及在外观上与其他皮肤癌相似,ES在临床和病理上可能会被误诊。

病例介绍

一名47岁不吸烟女性从附近医院转来就诊,检查其持续三个月的右脚疼痛,且同侧明显麻木。目前文献中仅报道了少数孤立病例或简短系列病例。ES的典型描述是它们为具有良性临床行为的微小肿块。

讨论

尽管足部是一个相当常见的部位,但足部的ES却很少见且多为轻症。经过推荐的手术及后续组织学分析,我们确诊了这种罕见的肿瘤类型。

结论

尽管罕见,但在鉴别诊断伴有或不伴有可见和/或可触及皮肤病变的足部疼痛时,考虑这种肿瘤非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/350b/9577863/91d0b916861f/gr1.jpg

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