Sunday 18 August 2019

Ewing's Sarcoma MRI Spine

A young male with progressive paraplegia.
A lentiform shaped well defined posterior epidural soft tissue in mid dorsal region with marked homogeneous enhancement on post contrast causing severe cord compression, abnormal intra medullary signals in compressed cord. There is an associated altered marrow signal, marrow oedema involving neural arch of adjacent vertebra with mild expansion of spinous process of corresponding vertebra.

Imaging wise differential  diagnosis considering young age of patient:
Ewing sarcoma, osteosarcoma, round cell tumour, aggressive haemangioma, Haemangiopericytoma.

Operated with posterior Decompressive laminectomy, excision of tumour.

Histopathology Report : Ewing Sarcoma.

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