eMedicine Specialties > Radiology > Musculoskeletal

Ewing Sarcoma: Multimedia

Author: Ludwig G Strauss, MD, Associate Director, Professor, Department of Innovative Cancer Diagnostics and Therapy, CCU Nuclear Medicine, German Cancer Research Center
Contributor Information and Disclosures

Updated: Feb 19, 2009

Multimedia

Radiograph of Ewing sarcoma of the os naviculare,...Media file 1: Radiograph of Ewing sarcoma of the os naviculare, a rare location for the tumor. This image depicts a significant periosteal reaction.
Radiograph of Ewing sarcoma of the os naviculare,...

Radiograph of Ewing sarcoma of the os naviculare, a rare location for the tumor. This image depicts a significant periosteal reaction.

Fusion magnetic resonance imaging (MRI) and posit...Media file 2: Fusion magnetic resonance imaging (MRI) and positron emission tomography scan studies obtained with fluorodeoxyglucose (FDG) in a patient with a Ewing sarcoma of the left tibia. This image demonstrates the tumor is primarily confined to the bone, with a small periosteal fraction. The MRI findings matched those of the PET images obtained with FDG scanning. (See also Image 3.)
Fusion magnetic resonance imaging (MRI) and posit...

Fusion magnetic resonance imaging (MRI) and positron emission tomography scan studies obtained with fluorodeoxyglucose (FDG) in a patient with a Ewing sarcoma of the left tibia. This image demonstrates the tumor is primarily confined to the bone, with a small periosteal fraction. The MRI findings matched those of the PET images obtained with FDG scanning. (See also Image 3.)

Positron emission tomogram obtained with fluorode...Media file 3: Positron emission tomogram obtained with fluorodeoxyglucose (FDG) scanning at the level of the magnetic resonance image in Image 2. This image shows high FDG accumulation in the lesion, which indicates high tumor viability. Moderate FDG accumulation in the periosteum and soft tissue resulted from tumor involvement.
Positron emission tomogram obtained with fluorode...

Positron emission tomogram obtained with fluorodeoxyglucose (FDG) scanning at the level of the magnetic resonance image in Image 2. This image shows high FDG accumulation in the lesion, which indicates high tumor viability. Moderate FDG accumulation in the periosteum and soft tissue resulted from tumor involvement.

Radiograph from an 11-year-old boy with a large E...Media file 4: Radiograph from an 11-year-old boy with a large Ewing sarcoma in the right pelvic area. Destruction of the bone structure resulted from tumor involvement. (See also Images 5-6.)
Radiograph from an 11-year-old boy with a large E...

Radiograph from an 11-year-old boy with a large Ewing sarcoma in the right pelvic area. Destruction of the bone structure resulted from tumor involvement. (See also Images 5-6.)

Magnetic resonance images from an 11-year-old boy...Media file 5: Magnetic resonance images from an 11-year-old boy with a right pelvic Ewing sarcoma (same patient as in Images 4 and 6). The tumor in the right iliac bone has the typical hyperintense appearance and extends to the hip. Significant involvement of the soft-tissue structures is depicted.
Magnetic resonance images from an 11-year-old boy...

Magnetic resonance images from an 11-year-old boy with a right pelvic Ewing sarcoma (same patient as in Images 4 and 6). The tumor in the right iliac bone has the typical hyperintense appearance and extends to the hip. Significant involvement of the soft-tissue structures is depicted.

Cross-sectional positron emission tomograms obtai...Media file 6: Cross-sectional positron emission tomograms obtained after the administration of fluorodeoxyglucose (FDG). The images correspond to the magnetic resonance image in Image 5. These tomograms depict increased metabolic activity in the tumor, as well as in the surrounding soft-tissue area.
Cross-sectional positron emission tomograms obtai...

Cross-sectional positron emission tomograms obtained after the administration of fluorodeoxyglucose (FDG). The images correspond to the magnetic resonance image in Image 5. These tomograms depict increased metabolic activity in the tumor, as well as in the surrounding soft-tissue area.

Cross-sectional fusion magnetic resonance image (...Media file 7: Cross-sectional fusion magnetic resonance image (MRI) and positron emission tomographic image of a Ewing sarcoma. The highest metabolic activities match the MRI findings. Note the soft-tissue involvement resulting from the large tumor.
Cross-sectional fusion magnetic resonance image (...

Cross-sectional fusion magnetic resonance image (MRI) and positron emission tomographic image of a Ewing sarcoma. The highest metabolic activities match the MRI findings. Note the soft-tissue involvement resulting from the large tumor.

More on Ewing Sarcoma

Overview: Ewing Sarcoma
Imaging: Ewing Sarcoma
Follow-up: Ewing Sarcoma
Multimedia: Ewing Sarcoma
References
Further Reading

References

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  28. Arush MW, Israel O, Postovsky S, et al. Positron emission tomography/computed tomography with (18)fluoro-deoxyglucose in the detection of local recurrence and distant metastases of pediatric sarcoma. Pediatr Blood Cancer. Dec 2007;49(7):901-5. [Medline].

Keywords

Ewing sarcoma, Ewing's sarcoma, malignant primary bone tumor, red bone marrow tumor, Ewing tumor, neural tumor, peripheral primitive neuroectodermal tumor, PNET, Ewing family of tumors, EFTs, Ewing sarcoma family of tumors, ESFTs

Contributor Information and Disclosures

Author

Ludwig G Strauss, MD, Associate Director, Professor, Department of Innovative Cancer Diagnostics and Therapy, CCU Nuclear Medicine, German Cancer Research Center
Ludwig G Strauss, MD is a member of the following medical societies: Society of Nuclear Medicine
Disclosure: Nothing to disclose.

Medical Editor

Amilcare Gentili, MD, Clinical Professor of Radiology, University of California at San Diego; Consulting Staff, Department of Radiology, Thornton Hospital
Amilcare Gentili, MD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

William R Reinus, MD, MBA, FACR, Professor of Radiology, Temple University; Chief of Musculoskeletal and Trauma Radiology, Vice Chair, Department of Radiology, Temple University Hospital
William R Reinus, MD, MBA, FACR is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Radiological Society of North America, and Sigma Xi
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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