AKUT KARINDA NADİR BİR NEDEN: PRİMER İSKELET DIŞI EWING SARKOMU

Öz

ÖZET

Yirmi altı yaşında erkek hasta akut karın ile başvurdu. Parasentezde karın içi kanama gö- rüldü. Eksplorasyonda rektosigmoid kolonu ve mesaneyi invaze eden pelvik kitle saptandı. Doku biyopsi incelemesinde, vimentin ve CD99 için pozitif boyanmış Ewing sarkom tumor hücreleri gösterildi. Bu vakada, pelvisin sıradışı bir tümörü olan iskelet dışı Ewing sarko- munu sunduk.

Anahtar kelimeler: Akut batın; Ewing sarkomu; İskelet dışı

ABSTRACT

A 26-year old man was presented with an acute abdomen. Paracentesis revealed hemoperitoneum and a pelvic mass invaded to rectosigmoid colon and bladder was detected  during  exploration. Tissue  biopsy  examination demonstrated  Vimentin and CD 99 positive stained tumor cells of the Ewing sarcoma. In the present case, we have reported an unusual tumor of the soft tissue of the pelvis, an extraskeletal Ewing sarcoma.

Keywords: Acute abdomen; Ewing sarcoma; Extraskeletal

Anahtar Kelimeler

• Akut batın,Ewing sarkomu; İskelet dışı

Öz

A 26-year old man was presented with an acute abdomen. Paracentesis revealed hemoperitoneum and a pelvic mass invaded to rectosigmoid colon and bladder was detected during exploration. Tissue biopsy examination demonstrated Vimentin and CD 99 positive stained tumor cells of the Ewing sarcoma. In the present case, we have reported an unusual tumor of the soft tissue of the pelvis, an extraskeletal Ewing sarcoma

Anahtar Kelimeler

• Acute abdomen,Ewing sarcoma; Extraskeletal

Kaynakça

1. Sondak VK, Economou JS, Eilber FR. Soft tissue sarcomas of the extremity and retroperitoneum: advances in management. Adv Surg. 1991; 24 (1):333–59.
2. Scurr M, Judson I. How to treat the Ewing’s family of sarcomas in adult patients. Oncologist 2006; 11 (1):65-72.
3. Verrill MW, Judson IR, Harmer CL, Fisher C, Thomas JM, Wiltshaw E. Ewing’s sarcoma and primitive neuroectodermal tumor in adults: are they different from Ewing’s sarcoma and primitive neuroectodermal tumor in children? J Clin Oncol. 1997; 15 (7):2611-21.
4. Moustafellos P, Gourgiotis S, Athanasopoulos G, Karagianni E, Hadjiyannakis E. A spontaneously ruptured primitive neuroectodermal tumor/extraosseous Ewing’s sarcoma of the kidney with renal vein tumor thrombus. Int Urol Nephrol. 2007; 39 (2):393-5. 90