Skip to main content
Top
Published in: Pediatric Radiology 6/2005

01-06-2005 | Original Article

Imaging characteristics of primary cranial Ewing sarcoma

Authors: Wai-Yung Li, Penelope Brock, Dawn E. Saunders

Published in: Pediatric Radiology | Issue 6/2005

Login to get access

Abstract

Background: Ewing sarcoma accounts for 10–15% of all childhood malignant bone tumours and is second in prevalence to osteosarcoma. The skull bones are an unusual site of origin of primary Ewing sarcoma in children. Previous reports concentrate on the neurosurgical aspects and relatively good outcome compared to other bone tumours of the calvarium. Reported cases mainly describe the imaging characteristics on CT. Objective: To describe the MRI and CT features of primary cranial Ewing sarcoma. Materials and methods: The neuroimaging of three cases of primary cranial Ewing sarcoma are reviewed. Results: Our three cases show an extra-axial mass that is high attenuation on CT and low signal on T2-weighted MRI. Haemorrhagic components, dural extension and contrast enhancement are also characteristic features. Conclusion: CT attenuation and magnetic resonance signal characteristics reflect sheets of densely packed cells seen in Ewing sarcoma.
Literature
1.
go back to reference Desai KI, Nadkarni TD, Goel A, et al (2000) Primary Ewing’s sarcoma of the cranium. Neurosurgery 46:62–68; Discussion 68–69 Desai KI, Nadkarni TD, Goel A, et al (2000) Primary Ewing’s sarcoma of the cranium. Neurosurgery 46:62–68; Discussion 68–69
2.
go back to reference Hadfield MG, Quezado MM, Williams RL, et al (2000) Ewing’s family of tumours involving structures related to the central nervous system: a review. Pediatr Dev Pathol 3:203–210 Hadfield MG, Quezado MM, Williams RL, et al (2000) Ewing’s family of tumours involving structures related to the central nervous system: a review. Pediatr Dev Pathol 3:203–210
3.
go back to reference Yasuda T, Inagaki T, Yamanouchi Y, et al (2003) A case of primary Ewing’s sarcoma of the occipital bone presenting with obstructive hydrocephalus. Childs Nerv Syst 19:792–799 Yasuda T, Inagaki T, Yamanouchi Y, et al (2003) A case of primary Ewing’s sarcoma of the occipital bone presenting with obstructive hydrocephalus. Childs Nerv Syst 19:792–799
4.
go back to reference Boumdin H, el Quessar A, Chakir N, et al (2001) Primary Ewing’s sarcoma of the cranial vault. Report of 2 cases (in French). J Neuroradiol 28:200–204 Boumdin H, el Quessar A, Chakir N, et al (2001) Primary Ewing’s sarcoma of the cranial vault. Report of 2 cases (in French). J Neuroradiol 28:200–204
5.
go back to reference Carlotti CG Jr, Drake JM, Hladky JP, et al (1999) Primary Ewing’s sarcoma of the skull in children. Utility of molecular diagnosis, surgery and adjuvant therapies. Pediatr Neurosurg 31:307–315 Carlotti CG Jr, Drake JM, Hladky JP, et al (1999) Primary Ewing’s sarcoma of the skull in children. Utility of molecular diagnosis, surgery and adjuvant therapies. Pediatr Neurosurg 31:307–315
6.
go back to reference Bhatoe HS, Deshpande GU (1998) Primary cranial Ewing’s sarcoma. Br J Neurosurg 12:165–169 Bhatoe HS, Deshpande GU (1998) Primary cranial Ewing’s sarcoma. Br J Neurosurg 12:165–169
7.
go back to reference Singh P, Jain DP, Kalra N, et al (2002) MR findings of primary Ewing’s sarcoma of greater wing of sphenoid. Australas Radiol 46:409–411 Singh P, Jain DP, Kalra N, et al (2002) MR findings of primary Ewing’s sarcoma of greater wing of sphenoid. Australas Radiol 46:409–411
8.
go back to reference Sharma RR, Netalkar A, Lad SD (2000) Primary Ewing’s sarcoma of the greater wing of the sphenoid bone. Br J Neurosurg 14:53–56 Sharma RR, Netalkar A, Lad SD (2000) Primary Ewing’s sarcoma of the greater wing of the sphenoid bone. Br J Neurosurg 14:53–56
9.
go back to reference Freeman MP, Currie CM, Gray GF Jr, et al (1988) Ewing’s sarcoma of the skull with an unusual pattern of reactive sclerosis: MR characteristics. J Comput Assist Tomogr 12:143–146 Freeman MP, Currie CM, Gray GF Jr, et al (1988) Ewing’s sarcoma of the skull with an unusual pattern of reactive sclerosis: MR characteristics. J Comput Assist Tomogr 12:143–146
10.
go back to reference Stiller CA, Bunch KJ (1990) Trends in survival for childhood cancer in Britain diagnosed 1971–85. Br J Cancer 62:806–815 Stiller CA, Bunch KJ (1990) Trends in survival for childhood cancer in Britain diagnosed 1971–85. Br J Cancer 62:806–815
11.
go back to reference Kolb EA, Kushner BH, Gorlick R, et al (2003) Long-term event-free survival after intensive chemotherapy for Ewing’s family of tumors in children and young adults. J Clin Oncol 21:3423–3430 Kolb EA, Kushner BH, Gorlick R, et al (2003) Long-term event-free survival after intensive chemotherapy for Ewing’s family of tumors in children and young adults. J Clin Oncol 21:3423–3430
12.
go back to reference Bacci G, Forni C, Longhi A, et al (2004) Long-term outcome for patients with non-metastatic Ewing’s sarcoma treated with adjuvant and neoadjuvant chemotherapies: 402 patients treated at Rizzoli between 1972 and 1992. Eur J Cancer 40:73–83 Bacci G, Forni C, Longhi A, et al (2004) Long-term outcome for patients with non-metastatic Ewing’s sarcoma treated with adjuvant and neoadjuvant chemotherapies: 402 patients treated at Rizzoli between 1972 and 1992. Eur J Cancer 40:73–83
Metadata
Title
Imaging characteristics of primary cranial Ewing sarcoma
Authors
Wai-Yung Li
Penelope Brock
Dawn E. Saunders
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 6/2005
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-005-1438-2

Other articles of this Issue 6/2005

Pediatric Radiology 6/2005 Go to the issue