Abstract
Background. The origin of Ewing's sarcoma in a periosteal location is rare and not clearly documented. Other malignant bone tumors appear to have a somewhat better prognosis when confined between periosteum and bone. Is it the same for periosteal Ewing's sarcoma?
Methods. We describe two new cases and comprehensively review the literature consisting of 18 documented cases since the condition was first described in 1986 (S.M. Bator.Cancer 58:1781– 4).
Results. Periosteal Ewing's sarcoma differs from the other forms of Ewing's sarcoma in terms of sex predominance, location of tumor, surgical stage at presentation and typical imaging studies. Eighteen out of the 20 patients were reported to be alive with no evidence of disease.
Conclusions. It seems that the prognosis of this rare variant of Ewing's sarcoma family of tumors might be better but the small number of cases precludes such a firm conclusion.
Full Text
The Full Text of this article is available as a PDF (182.1 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Abdelwahab I. F., Kenan S., Hermann G., Klein M. J., Lewis M. M. Periosteal ganglia: CT and MR imaging features. Radiology. 1993 Jul;188(1):245–248. doi: 10.1148/radiology.188.1.8511305. [DOI] [PubMed] [Google Scholar]
- Bacci G., Toni A., Avella M., Manfrini M., Sudanese A., Ciaroni D., Boriani S., Emiliani E., Campanacci M. Long-term results in 144 localized Ewing's sarcoma patients treated with combined therapy. Cancer. 1989 Apr 15;63(8):1477–1486. doi: 10.1002/1097-0142(19890415)63:8<1477::aid-cncr2820630805>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
- Bator S. M., Bauer T. W., Marks K. E., Norris D. G. Periosteal Ewing's sarcoma. Cancer. 1986 Oct 15;58(8):1781–1784. doi: 10.1002/1097-0142(19861015)58:8<1781::aid-cncr2820580835>3.0.co;2-h. [DOI] [PubMed] [Google Scholar]
- Bertoni F., Boriani S., Laus M., Campanacci M. Periosteal chondrosarcoma and periosteal osteosarcoma. Two distinct entities. J Bone Joint Surg Br. 1982;64(3):370–376. doi: 10.1302/0301-620X.64B3.7096408. [DOI] [PubMed] [Google Scholar]
- Dierick A. M., Langlois M., Van Oostveldt P., Roels H. The prognostic significance of the DNA content in Ewing's sarcoma: a retrospective cytophotometric and flow cytometric study. Histopathology. 1993 Oct;23(4):333–339. doi: 10.1111/j.1365-2559.1993.tb01216.x. [DOI] [PubMed] [Google Scholar]
- Eggli K. D., Quiogue T., Moser R. P., Jr Ewing's sarcoma. Radiol Clin North Am. 1993 Mar;31(2):325–337. [PubMed] [Google Scholar]
- Enneking W. F. A system of staging musculoskeletal neoplasms. Clin Orthop Relat Res. 1986 Mar;(204):9–24. [PubMed] [Google Scholar]
- Frouge C., Vanel D., Coffre C., Couanet D., Contesso G., Sarrazin D. The role of magnetic resonance imaging in the evaluation of Ewing sarcoma. A report of 27 cases. Skeletal Radiol. 1988;17(6):387–392. doi: 10.1007/BF00361656. [DOI] [PubMed] [Google Scholar]
- Hall R. B., Robinson L. H., Malawar M. M., Dunham W. K. Periosteal osteosarcoma. Cancer. 1985 Jan 1;55(1):165–171. doi: 10.1002/1097-0142(19850101)55:1<165::aid-cncr2820550126>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
- Hanna S. L., Fletcher B. D., Kaste S. C., Fairclough D. L., Parham D. M. Increased confidence of diagnosis of Ewing sarcoma using T2-weighted MR images. Magn Reson Imaging. 1994;12(4):559–568. doi: 10.1016/0730-725x(94)92450-3. [DOI] [PubMed] [Google Scholar]
- Kenan S., Abdelwahab I. F., Klein M. J., Hausman M. R., Lewis M. M. Case report 819: Periosteal Ewing's sarcoma of the tibia. Skeletal Radiol. 1994 Jan;23(1):59–61. doi: 10.1007/BF00203705. [DOI] [PubMed] [Google Scholar]
- Kinsella T. J., Miser J. S., Waller B., Venzon D., Glatstein E., Weaver-McClure L., Horowitz M. E. Long-term follow-up of Ewing's sarcoma of bone treated with combined modality therapy. Int J Radiat Oncol Biol Phys. 1991 Mar;20(3):389–395. doi: 10.1016/0360-3016(91)90047-8. [DOI] [PubMed] [Google Scholar]
- Kolár J., Zídková H., Matejovsky Z., Povýsil C., Kolín J., Beran J. Periosteal Ewing's sarcoma. Rofo. 1989 Feb;150(2):179–182. [PubMed] [Google Scholar]
- Ladanyi M., Lewis R., Jhanwar S. C., Gerald W., Huvos A. G., Healey J. H. MDM2 and CDK4 gene amplification in Ewing's sarcoma. J Pathol. 1995 Feb;175(2):211–217. doi: 10.1002/path.1711750209. [DOI] [PubMed] [Google Scholar]
- Lewis M. M., Kenan S., Yabut S. M., Norman A., Steiner G. Periosteal chondroma. A report of ten cases and review of the literature. Clin Orthop Relat Res. 1990 Jul;(256):185–192. [PubMed] [Google Scholar]
- McManus A. P., Gusterson B. A., Pinkerton C. R., Shipley J. M. Diagnosis of Ewing's sarcoma and related tumours by detection of chromosome 22q12 translocations using fluorescence in situ hybridization on tumour touch imprints. J Pathol. 1995 Jun;176(2):137–142. doi: 10.1002/path.1711760206. [DOI] [PubMed] [Google Scholar]
- Nesbit M. E., Jr, Gehan E. A., Burgert E. O., Jr, Vietti T. J., Cangir A., Tefft M., Evans R., Thomas P., Askin F. B., Kissane J. M. Multimodal therapy for the management of primary, nonmetastatic Ewing's sarcoma of bone: a long-term follow-up of the First Intergroup study. J Clin Oncol. 1990 Oct;8(10):1664–1674. doi: 10.1200/JCO.1990.8.10.1664. [DOI] [PubMed] [Google Scholar]
- Nojima T., Unni K. K., McLeod R. A., Pritchard D. J. Periosteal chondroma and periosteal chondrosarcoma. Am J Surg Pathol. 1985 Sep;9(9):666–677. doi: 10.1097/00000478-198509000-00006. [DOI] [PubMed] [Google Scholar]
- O'Keeffe F., Lorigan J. G., Wallace S. Radiological features of extraskeletal Ewing sarcoma. Br J Radiol. 1990 Jun;63(750):456–460. doi: 10.1259/0007-1285-63-750-456. [DOI] [PubMed] [Google Scholar]
- Rose J. S., Hermann G., Mendelson D. S., Ambinder E. P. Extraskeletal Ewing sarcoma with computed tomography correlation. Skeletal Radiol. 1983;9(4):234–237. doi: 10.1007/BF00354123. [DOI] [PubMed] [Google Scholar]
- Rud N. P., Reiman H. M., Pritchard D. J., Frassica F. J., Smithson W. A. Extraosseous Ewing's sarcoma. A study of 42 cases. Cancer. 1989 Oct 1;64(7):1548–1553. doi: 10.1002/1097-0142(19891001)64:7<1548::aid-cncr2820640733>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
- Shapeero L. G., Vanel D., Sundaram M., Ackerman L. V., Wuisman P., Bauer T. W., Neuenschwander S., Contesso G., Janney C., McDonald D. J. Periosteal Ewing sarcoma. Radiology. 1994 Jun;191(3):825–831. doi: 10.1148/radiology.191.3.8184073. [DOI] [PubMed] [Google Scholar]
- Shimada H., Newton W. A., Jr, Soule E. H., Qualman S. J., Aoyama C., Maurer H. M. Pathologic features of extraosseous Ewing's sarcoma: a report from the Intergroup Rhabdomyosarcoma Study. Hum Pathol. 1988 Apr;19(4):442–453. doi: 10.1016/s0046-8177(88)80495-7. [DOI] [PubMed] [Google Scholar]
- Stephenson C. F., Bridge J. A., Sandberg A. A. Cytogenetic and pathologic aspects of Ewing's sarcoma and neuroectodermal tumors. Hum Pathol. 1992 Nov;23(11):1270–1277. doi: 10.1016/0046-8177(92)90295-e. [DOI] [PubMed] [Google Scholar]
- Stuart-Harris R., Wills E. J., Philips J., Langlands A. O., Fox R. M., Tattersall M. H. Extraskeletal Ewing's sarcoma: a clinical, morphological and ultrastructural analysis of five cases with a review of the literature. Eur J Cancer Clin Oncol. 1986 Apr;22(4):393–400. doi: 10.1016/0277-5379(86)90104-5. [DOI] [PubMed] [Google Scholar]
- Taylor C., Patel K., Jones T., Kiely F., De Stavola B. L., Sheer D. Diagnosis of Ewing's sarcoma and peripheral neuroectodermal tumour based on the detection of t(11;22) using fluorescence in situ hybridisation. Br J Cancer. 1993 Jan;67(1):128–133. doi: 10.1038/bjc.1993.22. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Unni K. K., Dahlin D. C., Beabout J. W. Periosteal osteogenic sarcoma. Cancer. 1976 May;37(5):2476–2485. doi: 10.1002/1097-0142(197605)37:5<2476::aid-cncr2820370541>3.0.co;2-c. [DOI] [PubMed] [Google Scholar]
- Vanel D., Contesso G., Couanet D., Piekarski J. D., Sarrazin D., Masselot J. Computed tomography in the evaluation of 41 cases of Ewing's sarcoma. Skeletal Radiol. 1982;9(1):8–13. doi: 10.1007/BF00367374. [DOI] [PubMed] [Google Scholar]
- Wilkins R. M., Pritchard D. J., Burgert E. O., Jr, Unni K. K. Ewing's sarcoma of bone. Experience with 140 patients. Cancer. 1986 Dec 1;58(11):2551–2555. doi: 10.1002/1097-0142(19861201)58:11<2551::aid-cncr2820581132>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]
- deSantos L. A., Murray J. A., Finklestein J. B., Spjut H. J., Ayala A. G. The radiographic spectrum of periosteal osteosarcoma. Radiology. 1978 Apr;127(1):123–129. doi: 10.1148/127.1.123. [DOI] [PubMed] [Google Scholar]
