Open AccessPrimary Ewing′s sarcoma of the cranium: Case series and review of literature
Author(s) -
Krishnamani Kalpathi,
Thota Narender Kumar,
Vijay Gandhi Linga,
Raghunadharao Digumarti,
Sadashivudu Gundeti,
Megha S Uppin
Publication year - 2014
Publication title -
journal of cancer research and therapeutics/journal of cancer research and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.475
H-Index - 39
eISSN - 0973-1482
pISSN - 1998-4138
DOI - 10.4103/0973-1482.136663
Subject(s) - medicine , sarcoma , scalp , chemotherapy , radiation therapy , surgery , primary treatment , ewing's sarcoma , primary tumor , metastasis , pathology , cancer
Primary Ewing's sarcoma (EWS) of the cranium is extremely rare. It accounts for <1% of cases. We retrospectively analyzed our EWS cases to determine those which had a primary cranial involvement. Out of a total of 332 cases of EWS registered between the years 2000 and 2011, 7 were of the primary cranial involvement. Treatment modalities included surgery, chemotherapy, and radiotherapy (RT), as indicated. The follow-up ranged from 8 months to 7.5 years. In our study, parieto-occipital region was the commonest site. Most patients presented with localized disease and swelling of the scalp. Excision followed by chemotherapy or RT appears to have good survival rates. At a median follow-up of 32.2 months, only one patient had a recurrence, and was successfully salvaged with second line chemotherapy. These cases illustrate that a multi-disciplinary approach in patients with EWS of the cranium results in a good outcome.