Renal cell carcinoma on imaging unveiled as a primary Ewing’s sarcoma

Background Ewing sarcoma represents a spectrum of aggressive malignancies with the poor outcome. Primary renal Ewing sarcoma is rare and accounts for less than 1% of renal masses. Case presentation We present a case of a 45-year-old male presented in OPD with complaint of right flank pain and hematu...

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Bibliographic Details
Published in:African journal of urology 2023-12, Vol.29 (1), p.47-5, Article 47
Main Authors: Gupta, Shivangi, Khullar, Tamanna, Puri, Sunil Kumar
Format: Article
Language:English
Subjects:
Age groups
Blood clots
Calcification
Cancer
Case Reports
Chemotherapy
Consent
Ewing sarcoma
Ewings sarcoma
Hematuria
Imaging
Kidney cancer
Liver
Magnetic resonance imaging
Medicine
Medicine & Public Health
Metastasis
Microscopy
Primitive neuroectodermal tumor
Radiology
Renal cell carcinoma
Renal vein thrombosis
Sarcoma
Small round blue cell tumor
Surgery
Tumors
Urology
Veins & arteries
Vincristine
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Summary:Background Ewing sarcoma represents a spectrum of aggressive malignancies with the poor outcome. Primary renal Ewing sarcoma is rare and accounts for less than 1% of renal masses. Case presentation We present a case of a 45-year-old male presented in OPD with complaint of right flank pain and hematuria. He underwent a contrast-enhanced CT abdomen which depicted a right renal mass with liver lesions. He underwent Robotic Right Radical Nephrectomy and a pathological diagnosis of Ewing Sarcoma was made after which he was started on chemotherapy. Conclusions Owing to presentation in younger age group with poor prognosis, an integrated analysis including radiological imaging, histopathology, and immune-histological staining is essential for early detection of renal Ewing sarcoma.
ISSN:1961-9987
1110-5704
1961-9987
DOI:10.1186/s12301-023-00379-x