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  • Title: Periosteal Ewing Sarcoma in a 65-Year-Old Man: A Case Report.
    Author: Bedard J, Burns J, de Comas A.
    Journal: JBJS Case Connect; 2017; 7(2):e27. PubMed ID: 29244667.
    Abstract:
    CASE: Ewing sarcoma is predominantly a pediatric bone malignancy involving the medullary canal. Periosteal Ewing sarcoma, a subtype arising from the periosteum, is exceedingly rare, with approximately 30 reported cases in the literature. We describe a case of periosteal Ewing sarcoma in the tibia of a 65-year-old man. Magnetic resonance imaging revealed a heterogeneous mass in the proximal tibial diaphysis without medullary involvement. The diagnosis was confirmed histologically after biopsy. The patient was treated with neoadjuvant chemotherapy, radical resection, and adjuvant chemotherapy. CONCLUSION: To the best of our knowledge, this case report describes the oldest documented patient with periosteal Ewing sarcoma.
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