Publication Date
6-1-2023
Journal
Radiology Case Reports
DOI
10.1016/j.radcr.2023.03.042
PMID
37123035
PMCID
PMC10130686
PubMedCentral® Posted Date
4-13-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Renal Ewing sarcoma, Primary renal ESFT, Chemotherapy
Abstract
There are very few cases of primary renal Ewing sarcomas, which are characterized by a high rate of metastasis. These tumors are often mistaken for other more common kidney tumors due to their rarity and lack of pathognomonic symptoms in the early stages. A 28-year-old male patient presented to our clinic with a 2-month history of nonproductive progressive cough and left flank pain. The chest was scanned with contrast-enhanced computed tomography, which showed a heterogeneously enhancing mass with central vascularity on the left retroperitoneal. An abdominal dynamic multiphasic magnetic resonance imaging with contrast revealed a large mass that was highly suggestive of neoplastic pathology and multiple metastatic nodules. The pathology report indicated a renal Ewing sarcoma as the result of a core needle biopsy. In order to initiate chemotherapy promptly, early detection is crucial, and radiology plays an important role in diagnosing.
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