ABSTRACT
INTRODUCTION: Ewing's sarcoma is a Primary Neuroectodermal Tumour (PNET) commonly affecting appendicular skeleton. The involvement of axial skeleton is very rare and that too of cervical spine is rarest. We present a case of Ewing's sarcoma involving cervical spine managed surgically, and its outcome. CASE PRESENTATION: A 26-year-old male presented with 3-month history of neck pain and progressive motor weakness for 1 week. After clinical evaluation of sign and symptoms, MRI of cervical spine revealed a posterior neck mass over C2, C3 and C4. Because of mass effect and spinal cord compression, early surgical intervention was deemed necessary to stop progression of neurological deficit and make tissue diagnosis of lesion. On histopathological examination diagnosis of Ewing sarcoma was made. PET-CT showed C2 and C3 as primary site of involvement with no other site of involvement. DISCUSSION: The Ewing's Sarcoma of the cervical spine is a rare occurrence and usually present in late and advanced stage. High index of suspicion should be present to make early diagnosis and prevent complications.
Subject(s)
Sarcoma, Ewing , Spinal Cord Compression , Adult , Cervical Vertebrae/diagnostic imaging , Cervical Vertebrae/pathology , Humans , Male , Neck Pain , Positron Emission Tomography Computed Tomography , Sarcoma, Ewing/diagnostic imaging , Sarcoma, Ewing/surgery , Spinal Cord Compression/diagnostic imaging , Spinal Cord Compression/etiology , Spinal Cord Compression/surgeryABSTRACT
Fine-needle aspiration cytology (FNAC) is an important diagnostic tool which is replacing biopsy for the diagnosis of subcutaneous nodules. We present a case of 75 years old female with right sided multinodular lateral inguinal swelling since 2 years, without any clinical features of arthritis. FNAC of the lesion revealed negatively birefringent, long needle shaped monosodium urate crystals in the background of amorphous granular debris. Further investigations revealed high serum uric acid levels (9.36 mg/dL) and a confirmed diagnosis of gouty tophus was made. It is important that pathologist should be aware of the cytological features of gouty tophus, particularly in the case with unusual presentation. Gouty nodulosis has never been reported in literature at this site and we are first to report gouty tophus at this unique site.
