Elaitari K, Jabour S, Boujida N, Allali N, Chat L, El Kababri M, Kili A, Hessissein L, Regragui A, El Haddad S
Department of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, Morocco.
Department of Pediatric Hematology and Oncology, Rabat Children's Hospital, University Mohammed V of Rabat, Morocco.
Radiol Case Rep. 2025 Jul 24;20(10):5116-5121. doi: 10.1016/j.radcr.2025.06.055. eCollection 2025 Oct.
Ewing's sarcoma is an aggressive small round cell tumor and represents the second most common malignant bone neoplasm in children, following osteosarcoma. However, spinal Ewing's sarcoma is a rare entity in children, with extra-vertebral locations being more common. This case is distinguished by several particularities: atypical initial symptoms, and a diagnostic delay possibly related to either underestimation by the family or false reassurance from an initially unremarkable standard radiograph; unusual vertebral involvement; and a cervical location, which is even more exceptional. Moreover, there is an overlap in radiological and histological presentations with other tumor types, highlighting the importance of multidisciplinary correlation (clinical, radiological, and histopathological) to establish an accurate diagnosis. The patient underwent surgical decompression followed by chemotherapy. Disease progression was subsequently observed on follow-up imaging.
尤因肉瘤是一种侵袭性小圆细胞肿瘤，是儿童第二常见的恶性骨肿瘤，仅次于骨肉瘤。然而，儿童脊柱尤因肉瘤是一种罕见的疾病，椎体外部位更为常见。该病例有几个特殊之处：非典型的初始症状，诊断延迟可能与家庭的低估或最初无异常的标准X线片给予的错误安慰有关；不寻常的椎体受累；以及颈椎部位，这更为罕见。此外，其影像学和组织学表现与其他肿瘤类型存在重叠，凸显了多学科关联（临床、影像学和组织病理学）对于准确诊断的重要性。患者接受了手术减压，随后进行化疗。后续影像学检查观察到疾病进展。
