Sarcoma, Ewing's Family of Tumors

Pictures

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Advanced imaging techniques including magnetic resonance imaging MRI can help establish the diagnosis especially when the tumor arises outside the bone see Figure 2 Figure 2 MRI demonstrating the aggressive bone tumor The bright area above the right hip joint indicates a bone tumor that is concerning for a bone sarcoma If

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not yet been detected by the staging studies Furthermore this gives the surgeon an opportunity to better plan her his surgery which can be very involved see Figure 4 Figure 4 Plastic model of the pelvis An artificial metal pelvis was created for her while she was undergoing her initial chemotherapy prior to surgery

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Under the microscope these two diseases can however be separated see Figure 3 Figure 3 Biopsy of the tumor shows the typical appearance of ESFT when examined under a microscope The dark blue material within the cells represent the enlarged active

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Weiner 1996 and Randall 2000 Figure 5 Artificial pelvis next to the pelvis containing the tumor

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Figure 5 Artificial pelvis next to the pelvis containing the tumor Figure 6 Pelvic radiograph after surgery The metal artificial hemipelvis has been implanted on the right side How the surgery is performed is a matter of how

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can be passed along to other members of the family or offspring genetically These tumors are often referred to as small blue cell tumors due to their bluish color under the microscope Ewings sarcoma like most cancers has the ability to spread to other parts of the body The most common site of spread is the lungs but it can also spread to other bones or through the