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CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 2  |  Page : 79-83

Adult-onset clavicular Ewing’s sarcoma/peripheral neuroectodermal tumor: A diagnostic challenge


1 Department of Orthopaedic Oncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
2 Department of Medical Oncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
3 Department of Radiation Oncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
4 Department of Histopathology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Himanshu Rohela
Department of Orthopaedic Oncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jco.jco_13_19

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Primary Ewing’s sarcoma (ES) of clavicle is rare; moreover, an adult patient diagnosed with clavicular ES is extremely rare. We report a case of adult-onset clavicular ES under our tracking and review of the related literature on the management of this rare tumor. A 24-year-old adult presented with an incidentally detected clavicle mass. A biopsy from the clavicle was diagnosed as ES. Whole body positron emission technique scan was suggestive of nonmetastatic presentation. The patient received both neoadjuvant and adjuvant chemotherapy. Medial clavicle resection was performed and adjuvant XRT was started. At follow-up, the patient had good range of painless shoulder movement. In conclusion, it was observed that ES of clavicle is a very rare tumor and poses a diagnostic challenge. Clavicular tumors rarely need reconstruction after resection.


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