A case report of aggressive primary ewing Sarcoma

Ewing's sarcoma (ews) is the second most common malignant bone tumour in children. we present a case report of a 21 year old male who presented with pain and swelling of his left leg since three months. at the time of diagnosis he had non-metastatic ewing sarcoma of left tibia with a variant chromosomal translocation. he underwent six cycles of chemotherapy and one and a half months later he underwent limb salvage surgery with wide resection of tumour. within four weeks after surgery he developed metastatic relapse. he expired four months after first presentation due to advanced disease with pulmonary metastasis with sepsis and respiratory failure. we conclude that not all cases of non-metastatic disease have similar clinical outcome and should not be treated with similar treatment strategies,instead have to be divided as standard risk and high risk and treated accordingly. © journal of krishna institute of medical sciences university