Publication: Ewing-s Sarcoma of the Peritoneum: a Rare Location for Extraskeletal Ewing-s Sarcoma
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2016-11-01T00:00:00Z
Authors
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Saglam, MUZAFFER
OZDEMIR, Yavuz
YIGIT, Taner
KUCUKODACI, Zafer
SONMEZ, Guner
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Abstract
A 38-year-old male presented to the emergency department with abdominal pain and bulge. He had a history of irritable bowel syndrome for 1 year with complaint of dyspepsia. Physical examination revealed a distended abdomen with a huge palpable mass located in the paraumblical region. Laboratory findings revealed a high white blood cell count with neutrophil predominance. Contrast-enhanced computed tomography (CT) showed a 23-cm, oval-shaped, grossly necrotic, low-attenuation mass with peripherally located dominant vessels. Magnetic resonance imaging (MRI) with diffusion weighted imaging (DWI) suggested a highly malignant tumor with prominent diffusion restriction especially at the periphery of the mass. On surgery, macroscopic examination showed a macrolobulated, hypervascular, reddish brown mass attached to the parietal peritoneum with a stalk. Ewing-s sarcoma (ES) was diagnosed on histopathological examination with small round cells.
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Saglam M., OZDEMIR Y., YIGIT T., KUCUKODACI Z., SONMEZ G., -Ewing-s Sarcoma of the Peritoneum: a Rare Location for Extraskeletal Ewing-s Sarcoma-, JOURNAL OF GASTROINTESTINAL SURGERY, cilt.20, ss.1918-1919, 2016