Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case report
Abstract Background Ewing’s sarcoma (ES) is a common malignant bone tumor in adolescents and young adults. Its pelvic location is associated with a worse prognosis. Our case represents one of the rare instances in the literature involving an adult patient in whom the disease progressed fatally due t...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | The Egyptian Heart Journal |
| Online Access: | https://doi.org/10.1186/s43044-025-00619-1 |
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| author | Yassine Ettagmouti Salah-Eddine Hayar Ilyas Atlas Ghita Bennani Meryem Haboub Rachida Habbal |
| author_facet | Yassine Ettagmouti Salah-Eddine Hayar Ilyas Atlas Ghita Bennani Meryem Haboub Rachida Habbal |
| author_sort | Yassine Ettagmouti |
| collection | DOAJ |
| description | Abstract Background Ewing’s sarcoma (ES) is a common malignant bone tumor in adolescents and young adults. Its pelvic location is associated with a worse prognosis. Our case represents one of the rare instances in the literature involving an adult patient in whom the disease progressed fatally due to cardiac extension. Case presentation We report the case of a 31-year-old female patient who initially presented with swelling in her right lower extremity, which was found to be caused by deep venous thrombosis (DVT) extending from the iliac vein to the inferior vena cava. A thoracic-abdominal CT scan, performed as part of the etiological workup, revealed a tumor in the right hip bone with a malignant appearance, exhibiting both endo and exopelvic extension, and extending to the inferior vena cava (IVC) and right heart chambers. An echo-guided biopsy of the tumor mass confirmed Ewing's sarcoma. The patient's condition rapidly deteriorated, leading to death due to the inoperability of the extensive tumor. Conclusions Ewing’s sarcoma can affect adults, presenting with late-onset or rapidly metastatic forms. In its extensive form, ES requires multimodal imaging to assess operability and is associated with a poor prognosis. This case report represents one of the rare instances in the literature of Ewing’s sarcoma metastasizing to the heart. |
| format | Article |
| id | doaj-art-a79e06ccde3345c691f4069d0c20ed4c |
| institution | DOAJ |
| issn | 2090-911X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj-art-a79e06ccde3345c691f4069d0c20ed4c2025-08-20T03:04:12ZengSpringerOpenThe Egyptian Heart Journal2090-911X2025-02-017711610.1186/s43044-025-00619-1Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case reportYassine Ettagmouti0Salah-Eddine Hayar1Ilyas Atlas2Ghita Bennani3Meryem Haboub4Rachida Habbal5Cardiology Division, Ibn Rochd University HospitalCardiology Division, Ibn Rochd University HospitalCardiology Division, Ibn Rochd University HospitalRadiology Division, 20 AOUT 1953 HospitalCardiology Division, Ibn Rochd University HospitalCardiology Division, Ibn Rochd University HospitalAbstract Background Ewing’s sarcoma (ES) is a common malignant bone tumor in adolescents and young adults. Its pelvic location is associated with a worse prognosis. Our case represents one of the rare instances in the literature involving an adult patient in whom the disease progressed fatally due to cardiac extension. Case presentation We report the case of a 31-year-old female patient who initially presented with swelling in her right lower extremity, which was found to be caused by deep venous thrombosis (DVT) extending from the iliac vein to the inferior vena cava. A thoracic-abdominal CT scan, performed as part of the etiological workup, revealed a tumor in the right hip bone with a malignant appearance, exhibiting both endo and exopelvic extension, and extending to the inferior vena cava (IVC) and right heart chambers. An echo-guided biopsy of the tumor mass confirmed Ewing's sarcoma. The patient's condition rapidly deteriorated, leading to death due to the inoperability of the extensive tumor. Conclusions Ewing’s sarcoma can affect adults, presenting with late-onset or rapidly metastatic forms. In its extensive form, ES requires multimodal imaging to assess operability and is associated with a poor prognosis. This case report represents one of the rare instances in the literature of Ewing’s sarcoma metastasizing to the heart.https://doi.org/10.1186/s43044-025-00619-1 |
| spellingShingle | Yassine Ettagmouti Salah-Eddine Hayar Ilyas Atlas Ghita Bennani Meryem Haboub Rachida Habbal Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case report The Egyptian Heart Journal |
| title | Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case report |
| title_full | Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case report |
| title_fullStr | Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case report |
| title_full_unstemmed | Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case report |
| title_short | Metastatic extension of Ewing’s sarcoma to the right heart chambers: a rare case report |
| title_sort | metastatic extension of ewing s sarcoma to the right heart chambers a rare case report |
| url | https://doi.org/10.1186/s43044-025-00619-1 |
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