CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2020; 41(03): 397-399
DOI: 10.4103/ijmpo.ijmpo_57_20
Grand Round

Ewing’s Sarcoma of the Vulva: An Uncommon Tumor in an Uncommon Site

MC Suresh Babu
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
A Sreevalli
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Antony George Thottian
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
MN Suma
Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
D Lokanatha
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Linu Abraham Jacob
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
KN Lokesh
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
AH Rudresha
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
LK Rajeev
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Smitha Saldanha
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
› Author Affiliations
Financial support and sponsorship Nil.

Introduction

Extraskeletal Ewing's sarcoma (EES) is an uncommon, aggressive, round cell tumor. It accounts to 16% among Ewing's sarcoma (ES). The most commonly involved sites are soft tissues of trunk or lower extremities, paravertebral tissues, chest wall, and retroperitoneum. EES presenting in the genitourinary tract is highly uncommon. There are very few cases of primary vulvar and vaginal ES which have been published to date. We report a rare case of ES of the vulva that presented with labial swelling.



Publication History

Received: 12 February 2020

Accepted: 01 May 2020

Article published online:
28 June 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Rekhi B, Chinnaswamy G, Vora T, Shah S, Rangarajan V. Primary Ewing sarcoma of vulva, confirmed with molecular cytogenetic analysis: A rare case report with diagnostic and treatment implications. Indian J Pathol Microbiol 2015; 58: 341-4
  • 2 Yang J, Guo Q, Yang Y, Zhang J, Lang J, Shi H. Primary vulvar Ewing sarcoma/primitive neuroectodermal tumor: A report of one case and review of the literature. J Pediatr Adolesc Gynecol 2012; 25: e93-7
  • 3 Ewing J. Diffuse endothelioma of bone. Pathol Soc 1921; 21: 17-24
  • 4 Yeshvanth SK, Ninan K, Bhandary SK, Lakshinarayana KP, Shetty JK, Makannavar JH. Rare case of extra skeletal Ewings sarcoma of the sinonasal tract. J Cancer Res Ther 2012; 8: 142-4
  • 5 Cotterill SJ, Ahrens S, Paulussen M, Jürgens HF, Voûte PA, Gadner H. et al. Prognostic factors in Ewing's tumor of bone: Analysis of 975 patients from the European Intergroup Cooperative Ewing's Sarcoma Study Group. J Clin Oncol 2000; 18: 3108-14
  • 6 Pradhan A, Grimer RJ, Spooner D, Peake D, Carter SR, Tillman RM. et al. Oncological outcomes of patients with Ewing's sarcoma: Is there a difference between skeletal and extra-skeletal Ewing's sarcoma?. J Bone Joint Surg B 2011; 93: 531-6
  • 7 Kleinman GM, Young RH, Scully RE. Primary neuroectodermal tumors of the ovary. A report of 25 cases. Am J Surg Pathol 1993; 17: 764-78
  • 8 Snijders-Keilholz A, Ewing P, Seynaeve C, Burger CW. Primitive neuroectodermal tumor of the cervix uteri: A case report-changing concepts in therapy. Gynecol Oncol 2005; 98: 516-9
  • 9 Li B, Ouyang L, Han X, Zhou Y, Tong X, Zhang S. et al. Primary primitive neuroectodermal tumor of the cervix. Onco Targets Ther 2013; 6: 707-11
  • 10 Xiao C, Zhao J, Guo P, Wang D, Zhao D, Ren T. et al. Clinical analysis of primary primitive neuroectodermal tumors in the female genital tract. Int J Gynecol Cancer 2014; 24: 404-9
  • 11 Che SM, Cao PL, Chen HW, Liu Z, Meng D. Primary Ewing's sarcoma of vulva: A case report and a review of the literature. J Obstet Gynaecol Res 2013; 39: 746-9
  • 12 Grier HE, Krailo MD, Tarbell NJ, Link MP, Fryer CJ, Pritchard DJ. et al. Addition of ifosfamide and etoposide to standard chemotherapy for Ewing's sarcoma and primitive neuroectodermal tumor of bone. N Engl J Med 2003; 348: 694
  • 13 Al-Tamimi H, Al-Hadi AA, Al-Khater AH, Al-Bozom I, Al-Sayed N. Extra skeletal neuroectodermal tumour of the vagina: A single case report and review. Arch Gynecol Obstet 2009; 280: 465-8
  • 14 Tunitsky-Bitton E, Uy-Kroh MJ, Michener C, Tarr ME. Primary Ewing sarcoma presenting as a vulvar mass in an adolescent: Case report and review of literature. J Pediatr Adolesc Gynecol 2015; 28: e179-83
  • 15 Fong YE, López-Terrada D, Zhai QJ. Primary Ewing sarcoma/peripheral primitive neuroectodermal tumor of the vulva. Hum Pathol 2008; 39: 1535-9
  • 16 McCluggage WG, Sumathi VP, Nucci MR, Hirsch M, Dal Cin P, Wells M. et al. Ewing family of tumours involving the vulva and vagina: Report of a series of four cases. J Clin Pathol 2007; 60: 674-80