| Extraskeletal Cervical Epidural Ewing's Sarcoma: Case Report and Review of the Literature . |
| Jong Tae Kim, Dong Sup Chung, Young Min Han, Young Sup Park, Jun Ki Kang |
| Department of Neurosurgery, Our Lady of Mercy Hospital, Catholic University, Incheon, Korea. |
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| ABSTRACT |
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A patient with extraskeletal cervical epidural Ewing's sarcoma who presented with cervical radiculopathy is reported. A 58-year-old woman presented with right posterolateral neck pain and upper extremity radiculopathy.
The computed tomography myelography showed epidural and paravertebral masses on right side, with widening of the ipsilateral neural foramina at the C2-C3 level. On magnetic resonance images, the mass was isointense to soft tissue on T1-weighted images, hyperintense on T2-weighted images, and showed diffuse enhancement on GdTA enhanced T1-weighted images. The staged, combined posterior and anterior approach were done and the tumor mass was subtotally removed. During postoperative adjuvant chemotherapy with Cytoxane, Adriamycin, Vincristine, Prednisolone regimen, the patient died of severe compression of upper cervical cord by recurrent, extended tumor mass in the spinal canal. |
| Key Words:
Extraskeletal ewing sarcoma; Cervical; Chemotherapy |
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