000			02366nam a22002537a 4500
999			_c7996 _d7996
001			CH 2008 0003
003			PILC
005			20240720152609.0
008			160505b2008 xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aCH 2008 0003
245			_aExtraskeletal ewing sarcoma : _ba case report / _cAngela Rose T. Real.
260			_aFairview, Quezon City: _bDepartment of Child Heath, FEU-NRMF, _c2008.
300			_a32 pages: _btables; _c(in folder)
336			_atext _2rdacontent
337			_aunmediated _2rdamedia
338			_avolume _2rdacarrier
504			_aIncludes appendices and bibliographical references.
520			_aAbstract: JP a 4 year old male was admitted due to low back pain for 7 days with associated weakness of both lower extremities following an apparent fall from a four free truck. Spinal cord injury secondary to trauma was the primary consideration. Complete blood count with platelet count, urinalysis, serum electrolytes and x-ray of the knee and pelvis were all normal. ASO determination was positive and erythrocyte sedimetation rate were elevated. Despite giving Gabapentin, Vit B complex and prednisolone, there was progression of symptoms with subsequent development of hyperesthesia and difficulty of urination and defecation. MRI of the thoracolumbosacral area revealed a mass from L1 to L3 hence emergency laminectomy was done revealing a reddish-brown extradural mass from T-12m to L12. Dexamethasone, Ranitide , Ceftazidime, Oxacillin and Amikacin were given. Frozen biopsy of the mass revealed round cell malignancy suggestive of Ewing sarcoma and lymphoma. A bone marrow aspiration biopsy showed metastatic malignancy with small round cell tumor most compatible with extra skeletal Ewing Sarcoma/PNET a rare variant of Ewing sarcoma. In patient having this tumor with metastasis, the prognosis is low (10-25%) After undergoing operation, J.P. developed lymphadenopathies with a gradually growing left upper quadrant mass and persistent anemia and hypoalbuminemia. Whole abdominal ultrasound revealed retroperitoneal mass. and bone marrow biopsy revealed metastatic malignancy. Despite aggressive treatment and management, the patient deteriorated and succumbed.
521			_aRESDCH
700			_aReal, Angela Rose T., MD. _eauthor
942			_2lcc _cRU