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Case Report
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| Extraskeletal Ewing's sarcoma: An adrenal localization | ||||||
| Salma Ait Batahar1, Safae Elidrissi1, Salwa Berrada2, Hanane Rais2 Lamyae Amro1 | ||||||
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1Pulmonary department, Mohamed VI University Hospital, Marrakech, Morocco.
2Histopathology Department, Mohamed VI University Hospital, Marrakech, Morocco. | ||||||
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| How to cite this article |
| Ait Batahar S, Elidrissi S, Berrada S, Rais H, Amro L. Extraskeletal Ewing's sarcoma: An adrenal localization. Int J Case Rep Images 2016;7(11):762–765. |
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Abstract
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Introduction:
Ewing's sarcoma is a frequent bone malignant tumor in children and young adults. Its extraskeletal primitive localization is less common which makes its diagnosis less obvious.
Case Report: We report a case of a 16-year-old female who presented at our department for one month history of pleuritic chest pain. The physical examination and the thoracic radiography results supported a pleural effusion. The results of the first thoracentesis and pleural biopsy were not conclusive, thus a second thoracentesis was attempted but did not withdraw any pleural fluid. A thoracoabdominal computed tomography (CT) scan was performed which found a large infraphrenic tumor suspecting an adrenal neuroblastoma. A CT guided biopsy was done and the histopathology study revealed a malignant proliferation made of medium sized round cells. The immunohistochemistry concluded to Ewing's sarcoma. The diagnosis of primitive adrenal gland neuroectodermal tumor was established and adjuvant chemotherapy was recommended. The patient passed away during her first chemotherapy session. Conclusion: The adrenal localization of Ewing's sarcoma is rare. A neuroblastoma is the first brought up diagnosis in such presentation but an extraskeletal neuroectodermal tumor is also possible. | |
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Keywords:
Adrenal tumor, Ewing's Sarcoma, Neuroectodermal tumor
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Author Contributions
Salma Ait Batahar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Safae Elidrissi – Acquisition of data, Drafting the article, Final approval of the version to be published Salwa Berrada – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Hanane Rais – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Lamyae Amro – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Salma Ait Batahar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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