Spinal cord Ewing's sarcoma metastasis: presentation of one case

Cervical spinal Ewing's sarcomas are rare and cause problems in diagnosis. We present an unusual case of a primary extraosseous Ewing's sarcoma arising from the spinal cord. An 18-year-old woman with fever, headache and back pain lasting one month was admitted to the hospital. Whole body b...

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Bibliographic Details
Published in:Annals of nuclear medicine 2004-10, Vol.18 (7), p.623-626
Main Author: Kara, Gün
Format: Article
Language:English
Subjects:
Adolescent
Back Pain - diagnosis
Back Pain - etiology
Case reports
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - pathology
Diagnosis
Ewings sarcoma
Female
Fever of Unknown Origin - diagnosis
Fever of Unknown Origin - etiology
Headache
Headache - diagnosis
Headache - etiology
Humans
Magnetic resonance imaging
Medical imaging
Metastases
Neoplasms, Unknown Primary - complications
Neoplasms, Unknown Primary - diagnosis
Neoplasms, Unknown Primary - diagnostic imaging
Radionuclide Imaging
Radiopharmaceuticals
Sarcoma
Sarcoma, Ewing - complications
Sarcoma, Ewing - diagnosis
Sarcoma, Ewing - diagnostic imaging
Sarcoma, Ewing - secondary
Scintigraphy
Spinal cord
Spinal Neoplasms - complications
Spinal Neoplasms - diagnosis
Spinal Neoplasms - diagnostic imaging
Spinal Neoplasms - secondary
Sports injuries
Technetium
Technetium isotopes
Technetium Tc 99m Medronate
Vertebrae
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Summary:Cervical spinal Ewing's sarcomas are rare and cause problems in diagnosis. We present an unusual case of a primary extraosseous Ewing's sarcoma arising from the spinal cord. An 18-year-old woman with fever, headache and back pain lasting one month was admitted to the hospital. Whole body bone scintigraphy was performed with 1110 MBq technetium-99m methylenediphosphonate. Scintigraphy clearly showed abnormal technetium-99m methylenediphosphonate accumulation in the level of the 5th and 6th cervical vertebrae. Magnetic resonance imaging could also confirm this examination finding. After the scintigraphic study, the patient underwent surgery. Pathological diagnosis of the operation specimen was Ewing's sarcoma.
ISSN:0914-7187
1864-6433
DOI:10.1007/BF02984585