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Histologycally tumor revealed bland spindle-shaped cells with indistinct pale eosinophilic cytoplasm and small hyperchromatic oval nuclei, ring cell likes were also observed (Fig 2A and 2B), ploemorphism and mitotic features (Fig 2C and 2D). The tumor cells were embedded in a variably fibrous or myxoid stroma that tended to alternate in different areas of the tumor. Immunohistochemical analysis of the tumor cells revealed diffuse expression of vimentin, CD99 (Fig 2E) and CD117 (Fig 2F). Ewing sarcoma was diagnosed. The tumor was resistant to different kinds of therapy.

Isolated hypoglossal nerve palsy: an unusual rare presentation in systemic lupus erythematosus