Spinal intradural metastasis from scapular Ewing sarcoma

Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors...
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Autor*in:	Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara [verfasserIn] Jayawickreme, Kushalee Poornima Ekanayake, Ekanayake Mudiyanselage Madhushanka Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Ewing sarcoma Flaccid paralysis Scapular bone neoplasm Spinal metastasis Sri Lanka

Anmerkung:	© Ralapanawa et al. 2015

Übergeordnetes Werk:	Enthalten in: BMC Research Notes - London, 2008, 8(2015), 1 vom: 08. Juli
Übergeordnetes Werk:	volume:8 ; year:2015 ; number:1 ; day:08 ; month:07

Links:	Volltext

DOI / URN:	10.1186/s13104-015-1263-0

Katalog-ID:	SPR030307066

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520			\|a Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death.
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allfields	10.1186/s13104-015-1263-0 doi (DE-627)SPR030307066 (SPR)s13104-015-1263-0-e DE-627 ger DE-627 rakwb eng Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara verfasserin aut Spinal intradural metastasis from scapular Ewing sarcoma 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ralapanawa et al. 2015 Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. Ewing sarcoma (dpeaa)DE-He213 Flaccid paralysis (dpeaa)DE-He213 Scapular bone neoplasm (dpeaa)DE-He213 Spinal metastasis (dpeaa)DE-He213 Sri Lanka (dpeaa)DE-He213 Jayawickreme, Kushalee Poornima aut Ekanayake, Ekanayake Mudiyanselage Madhushanka aut Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 08. Juli (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:08 month:07 https://dx.doi.org/10.1186/s13104-015-1263-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 08 07
spelling	10.1186/s13104-015-1263-0 doi (DE-627)SPR030307066 (SPR)s13104-015-1263-0-e DE-627 ger DE-627 rakwb eng Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara verfasserin aut Spinal intradural metastasis from scapular Ewing sarcoma 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ralapanawa et al. 2015 Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. Ewing sarcoma (dpeaa)DE-He213 Flaccid paralysis (dpeaa)DE-He213 Scapular bone neoplasm (dpeaa)DE-He213 Spinal metastasis (dpeaa)DE-He213 Sri Lanka (dpeaa)DE-He213 Jayawickreme, Kushalee Poornima aut Ekanayake, Ekanayake Mudiyanselage Madhushanka aut Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 08. Juli (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:08 month:07 https://dx.doi.org/10.1186/s13104-015-1263-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 08 07
allfields_unstemmed	10.1186/s13104-015-1263-0 doi (DE-627)SPR030307066 (SPR)s13104-015-1263-0-e DE-627 ger DE-627 rakwb eng Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara verfasserin aut Spinal intradural metastasis from scapular Ewing sarcoma 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ralapanawa et al. 2015 Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. Ewing sarcoma (dpeaa)DE-He213 Flaccid paralysis (dpeaa)DE-He213 Scapular bone neoplasm (dpeaa)DE-He213 Spinal metastasis (dpeaa)DE-He213 Sri Lanka (dpeaa)DE-He213 Jayawickreme, Kushalee Poornima aut Ekanayake, Ekanayake Mudiyanselage Madhushanka aut Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 08. Juli (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:08 month:07 https://dx.doi.org/10.1186/s13104-015-1263-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 08 07
allfieldsGer	10.1186/s13104-015-1263-0 doi (DE-627)SPR030307066 (SPR)s13104-015-1263-0-e DE-627 ger DE-627 rakwb eng Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara verfasserin aut Spinal intradural metastasis from scapular Ewing sarcoma 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ralapanawa et al. 2015 Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. Ewing sarcoma (dpeaa)DE-He213 Flaccid paralysis (dpeaa)DE-He213 Scapular bone neoplasm (dpeaa)DE-He213 Spinal metastasis (dpeaa)DE-He213 Sri Lanka (dpeaa)DE-He213 Jayawickreme, Kushalee Poornima aut Ekanayake, Ekanayake Mudiyanselage Madhushanka aut Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 08. Juli (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:08 month:07 https://dx.doi.org/10.1186/s13104-015-1263-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 08 07
allfieldsSound	10.1186/s13104-015-1263-0 doi (DE-627)SPR030307066 (SPR)s13104-015-1263-0-e DE-627 ger DE-627 rakwb eng Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara verfasserin aut Spinal intradural metastasis from scapular Ewing sarcoma 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ralapanawa et al. 2015 Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. Ewing sarcoma (dpeaa)DE-He213 Flaccid paralysis (dpeaa)DE-He213 Scapular bone neoplasm (dpeaa)DE-He213 Spinal metastasis (dpeaa)DE-He213 Sri Lanka (dpeaa)DE-He213 Jayawickreme, Kushalee Poornima aut Ekanayake, Ekanayake Mudiyanselage Madhushanka aut Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 08. Juli (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:08 month:07 https://dx.doi.org/10.1186/s13104-015-1263-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 08 07
language	English
source	Enthalten in BMC Research Notes 8(2015), 1 vom: 08. Juli volume:8 year:2015 number:1 day:08 month:07
sourceStr	Enthalten in BMC Research Notes 8(2015), 1 vom: 08. Juli volume:8 year:2015 number:1 day:08 month:07
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Ewing sarcoma Flaccid paralysis Scapular bone neoplasm Spinal metastasis Sri Lanka
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container_title	BMC Research Notes
authorswithroles_txt_mv	Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara @@aut@@ Jayawickreme, Kushalee Poornima @@aut@@ Ekanayake, Ekanayake Mudiyanselage Madhushanka @@aut@@ Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini @@aut@@
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It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. 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author	Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara
spellingShingle	Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara misc Ewing sarcoma misc Flaccid paralysis misc Scapular bone neoplasm misc Spinal metastasis misc Sri Lanka Spinal intradural metastasis from scapular Ewing sarcoma
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topic_title	Spinal intradural metastasis from scapular Ewing sarcoma Ewing sarcoma (dpeaa)DE-He213 Flaccid paralysis (dpeaa)DE-He213 Scapular bone neoplasm (dpeaa)DE-He213 Spinal metastasis (dpeaa)DE-He213 Sri Lanka (dpeaa)DE-He213
topic	misc Ewing sarcoma misc Flaccid paralysis misc Scapular bone neoplasm misc Spinal metastasis misc Sri Lanka
topic_unstemmed	misc Ewing sarcoma misc Flaccid paralysis misc Scapular bone neoplasm misc Spinal metastasis misc Sri Lanka
topic_browse	misc Ewing sarcoma misc Flaccid paralysis misc Scapular bone neoplasm misc Spinal metastasis misc Sri Lanka
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title	Spinal intradural metastasis from scapular Ewing sarcoma
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title_full	Spinal intradural metastasis from scapular Ewing sarcoma
author_sort	Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara
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author_browse	Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara Jayawickreme, Kushalee Poornima Ekanayake, Ekanayake Mudiyanselage Madhushanka Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini
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author-letter	Ralapanawa, Dissanayake Mudiyanselage Priyantha Udaya Kumara
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title_sort	spinal intradural metastasis from scapular ewing sarcoma
title_auth	Spinal intradural metastasis from scapular Ewing sarcoma
abstract	Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. © Ralapanawa et al. 2015
abstractGer	Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. © Ralapanawa et al. 2015
abstract_unstemmed	Background Ewing sarcoma is a primary bone neoplasm, which is a high grade aggressive small round blue cell tumour, and is currently recognized as a part of the Ewing family of tumours. It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. Conclusion Intradural spinal metastasis of Ewing sarcoma presenting with lower limb weakness, without a history of pain, though rarely, can be the first presentation, and can rapidly progress to brainstem involvement and death. © Ralapanawa et al. 2015
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title_short	Spinal intradural metastasis from scapular Ewing sarcoma
url	https://dx.doi.org/10.1186/s13104-015-1263-0
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author2	Jayawickreme, Kushalee Poornima Ekanayake, Ekanayake Mudiyanselage Madhushanka Kumarihamy, Kulatunga Wijekoon Mudiyanselage Pramitha Prabhashini
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up_date	2024-07-03T15:19:51.022Z
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It is the most lethal bone tumor, and is a rare malignant bone tumor accounting for 10% of all primary bone tumors, and 6% of malignant bone tumors. It has an average annual incidence of 3 per 1 million, found almost exclusively in Caucasians. It commonly occurs in long bones and pelvis but rarely involves the scapula. 85% of cases have metastasis within 2 years of diagnosis, rarely involving the meninges. Case presentation We report a case of a 25 year old Sinhalese Sri Lankan female, presenting with a 1 day history of bilateral lower limb weakness and urinary incontinence. She had a sensory level with flaccid paralysis of lower limbs and a painless bony lump in the left dorsal scapula. Investigations showed scapular primary Ewing sarcoma giving rise to spinal intradural metastasis. For the best of our knowledge this is the first reported case of a scapular Ewing sarcoma with spinal intradural metastasis presenting with lower limb paralysis. 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Spinal intradural metastasis from scapular Ewing sarcoma

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