A case of small bowel metastasis from spinal Ewing sarcoma causing intussusception in an adult female

World Journal of Surgical Oncology

Case Report

Qing Ting Tan¹  Jin Yao Teo²  Alexander Yaw Fui Chung²  Syed Salahuddin Ahmed³ 

[1] Department of General Surgery, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore;Department of Hepatopancreaticobiliary Surgery, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore;Department of Pathology, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore;

关键词: Ewing sarcoma;    Adult;    Metastasis;    Small bowel;    Intestinal;    Obstruction;    Intussusception;   

DOI  :  10.1186/s12957-016-0850-4

 received in 2015-02-06, accepted in 2016-03-24,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundEwing sarcomas are highly aggressive malignant tumours occurring predominantly in the long bones of the extremities in children and young adults. About 20 % of patients will present with metastases at diagnosis with the commonest sites being the lungs, bone and bone marrow. Cases of primary small bowel Ewing sarcomas have been described but are nonetheless exceedingly rare, even more so cases of metastasis to the small bowel.Case PresentationWe describe a case of vertebral Ewing sarcoma in a 44 year-old female which metastasized to the jejunum causing intussusception.ConclusionsEwing’s sarcoma is highly aggressive and presence of metastases, overt or subclinical, is thought to be present in almost all patients at diagnosis. As evidenced by our patient, metastatic disease can progress rapidly to cause further complications and confer a poorer survival. The possibility of metastasis, no matter how rare or unlikely the site is, should be considered and actively investigated to expedite treatment of the primary disease.

【 授权许可】

CC BY   
© Tan et al. 2016