Ewing's sarcoma of the nose

Nasal bleeding is a common complaint familiar to all otolaryngologists. But, sino-nasal primary Ewing's Sarcoma is extremely rare. This is a case of a 16-year old male patient who suffers from epistaxis, in addition to his left eye proptosis. After examination, it has been revealed that he had a nasal mass in the left side of his nose. The case was managed initially as a vascular mass, but then, under surgery, a frozen section was subjected to examination using histology; the examination revealed the existance of malignant cells. After all, definite histopathological diagnosis by immunohistochemical stains proved it to be Ewing's Sarcoma