Publication Date
11-1-2023
Journal
Cureus
DOI
10.7759/cureus.49140
PMID
38130536
PMCID
PMC10733606
PubMedCentral® Posted Date
11-20-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
upper extremity reconstruction, pediatrics chemotherapy, sarcoma soft tissue, limited english proficiency, extraosseous ewing's sarcoma
Abstract
Ewing's sarcoma is a neuroectodermal malignancy classically associated with innocuous and chronic symptomatology. Although tumors typically involve the axial skeleton, some malignancies may be confined to extraosseous tissue only. This report presents the case of a 15-year-old Hispanic male with a tender, slow-growing mass of seven months in the subcutaneous tissue of the right hand. Core needle biopsy and fine needle aspiration confirmed the diagnosis of high-grade extraosseous Ewing's sarcoma and the patient was treated via surgical resection and chemotherapy. Nonspecific findings of Ewing's sarcoma may mimic infection or trauma and contribute to a delay in diagnosis. However, social and economic influences including limited English proficiency and insurance status also critically affect the timing of presentation.