Journal of Case Reports and Reviews in Medicine (ISSN: 3069-0749)
Case Report Volume: 1 & Issue: 4
Abstract
Background: Extraskeletal
Ewing sarcoma (EES) is a rare soft-tissue tumor with aggressive behavior and
poor prognosis, especially when metastasized. Primary cutaneous manifestations
are extremely uncommon.
Case Presentation: We
report a case of a 22-year-old pregnant woman presenting with infraumbilical
subcutaneous nodules that rapidly progressed postpartum. Histopathology
confirmed EES. Imaging revealed widespread metastasis to the breasts, lungs,
liver, bones, and brain. Due to systemic involvement, palliative chemotherapy
and radiotherapy were initiated but patient could not bear the disease and
treatment burden and unfortunately died after 6 months.
Conclusion: This case
highlights an aggressive presentation of EES with rare metastatic spread,
underscoring the need for early suspicion and the role of imaging in guiding
management.
Keywords: Extraskeletal
Ewing Sarcoma; Breast Metastasis; Brain Metastasis; Cutaneous Manifestations;
Chemotherapy