Presentation
Pain in leg
Patient Data
Age: 15 years
Gender: Male
From the case:
Ewing sarcoma
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X-ray of the femur demonstrates destruction of the bone with cortical erosions and poor transition to normal bone. There are perpendicular spiculations producing a sunburst appearance in the center of the tumor. Laminated appearance occurs towards the edge of the tumor. There is no definite soft tissue mass.
Case Discussion
The appearance of Ewing sarcoma is variable. Common plain film findings include:
Other appearances, include codman triangles, spiculated (sunburst) or thick periosteal reactions, and even bone expansion or cystic components.
This is a biopsy-proven case of Ewing sarcoma.
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