Display options
Share it on

Case Rep Oncol. 2012 Sep;5(3):633-8. doi: 10.1159/000345568. Epub 2012 Sep 27.

Sarcoma of the ewing family in pregnancy: a case report of intrauterine fetal death after induction of chemotherapy.

Case reports in oncology

S Schur, J Wild, G Amann, W Köstler, M Langer, T Brodowicz

Affiliations

  1. Comprehensive Cancer Center - Musculoskeletal Tumors, GIST, Bone and Soft Tissue Sarcoma Program, Clinical Division of Oncology, Department of Internal Medicine I, Sarcoma Platform Austria, Vienna, Austria.

PMID: 23275778 PMCID: PMC3531939 DOI: 10.1159/000345568

Abstract

Ewing's sarcoma is an ultra-orphan disease (2/1,000,000/year) which requires a multimodal therapy approach in high-volume centers. Treatment consists of pre-operative therapy followed by surgery and post-operative combination of chemo-radiotherapy. Experience with diagnosis and therapy of Ewing's sarcoma in pregnancy is very limited. We herein report the case of an atypical Ewing's sarcoma detected in the second trimester of gestation. Neoadjuvant chemotherapy was initiated and resulted in substantial tumor shrinkage and intrauterine fetal death. The rare nature of this condition underlines once more the need for a multidisciplinary team to improve the quality of care for this highly special patient collective.

Keywords: Ewing's sarcoma; Intrauterine fetal death; Multidisciplinary team approach; Neoadjuvant chemotherapy; Pregnancy

References

  1. Clin Obstet Gynecol. 2011 Dec;54(4):602-18 - PubMed
  2. Tumori. 2008 May-Jun;94(3):431-3 - PubMed
  3. Am J Med. 1980 Dec;69(6):828-32 - PubMed
  4. Cancer. 1985 Sep 1;56(5):1028-33 - PubMed
  5. Int J Gynecol Cancer. 2007 Jan-Feb;17(1):266-9 - PubMed
  6. Obstet Gynecol. 1963 Apr;21:506-9 - PubMed
  7. Obstet Gynecol. 1997 May;89(5 Pt 2):828-31 - PubMed
  8. Prenat Diagn. 1989 Sep;9(9):681-2 - PubMed
  9. J Pediatr Hematol Oncol. 2004 May;26(5):308-11 - PubMed
  10. Am J Perinatol. 2006 Nov;23(8):459-61 - PubMed
  11. Ann Oncol. 2010 May;21 Suppl 5:v204-13 - PubMed
  12. Ann Oncol. 1999 Mar;10(3):345-50 - PubMed
  13. Cancer Treat Rev. 2010 Apr;36(2):101-9 - PubMed
  14. Acta Oncol. 1998;37(7-8):721-7 - PubMed
  15. Pediatr Dev Pathol. 2009 Jan-Feb;12(1):35-41 - PubMed
  16. J Pak Med Assoc. 2007 Sep;57(9):449-52 - PubMed
  17. Obstet Gynecol. 1984 Mar;63(3 Suppl):2S-6S - PubMed
  18. Cancer Chemother Pharmacol. 2012 Feb;69(2):357-67 - PubMed

Publication Types