Surgical management of primary gastric Ewing-like sarcoma at the lesser curvature

Chin, Xinlin, Cooper, Scott, and Martin, Priscilla (2023) Surgical management of primary gastric Ewing-like sarcoma at the lesser curvature. Journal of Surgical Case Reports, 2023 (9). rjad498.

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Abstract

We report the case of a 65-year-old female who presented with a 6-month history of epigastric pain and dyspepsia. Computed tomography of the abdomen and pelvis showed an enhancing nodular lesion and an indeterminate 4 mm lymph node on the lesser curvature of the stomach raising concerns for gastric malignancy. Upper gastrointestinal endoscopy revealed a 10 cm malignant appearing lesion along the gastric lesser curvature. Histopathology demonstrated spindled and small round blue cell tumor with immunohistochemistry staining consistent with Ewing-like sarcoma. After multidisciplinary team discussion the patient was arranged for neoadjuvant chemotherapy with early re-imaging, followed by consideration of gastrectomy. This case highlights the unusual diagnosis of primary gastric Ewing-like sarcoma and the management of this rare condition.

Item ID: 82128
Item Type: Article (Case Study)
ISSN: 2042-8812
Keywords: Ewing sarcoma, Ewing sarcoma of the stomach, Ewing-like sarcoma, Extraskeletal Ewing sarcoma, gastric Ewing sarcoma
Copyright Information: © The Author(s) 2023. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Date Deposited: 29 May 2024 03:39
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320226 Surgery @ 100%
SEO Codes: 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280103 Expanding knowledge in the biomedical and clinical sciences @ 100%
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