Ewing sarcoma - Vejthani Hospital | JCI Accredited International Hospital in Bangkok, Thailand.

Ewing sarcoma

Overview

Ewing sarcoma is a rare bone and soft tissues cancer that usually affect children and adolescents. Ewing’s sarcoma typically develops in puberty when young people’s bones are rapidly expanding. Ewing sarcoma affects young men more often than young women. The DNA of cells can change, resulting in abnormal cells that assault healthy tissue and cause Ewing sarcoma.

Ewing sarcoma can develop in any bone, however it typically starts in the pelvic and leg bones. It is less common for this to be found in the limbs, abdomen, chest, or other soft tissues.

The prognosis for those who have Ewing sarcoma has been significantly improved as a result of significant developments in its management. It is advised to continue monitoring for the rest of one’s life to look for any residual effects of aggressive chemotherapy and radiation.

Symptoms

Before the disease to becoming constant, Ewing’s sarcoma symptoms first come and go. When patient have Ewing sarcoma, over 85% of kids and teenagers experience pain. Other symptoms include:

  • Tenderness, swelling, or stiffness in the bone or in the tissue around the bone.
  • Lumps that may feel warm and soft to the touch near the skin’s surface.
  • Bone pain
  • Unexplained tiredness
  • Unexplained fever
  • Sudden weight loss
  • Bones that break without injury

If there are any concerning signs and symptoms that the child is experiencing that is persistent and concerning, then seek medical attention.

Causes

The exact cause of Ewing sarcoma is unknown. Doctors are aware that when a cell experiences DNA alterations, Ewing sarcoma starts to form. The instructions that inform a cell what to do are encoded in its DNA. When healthy cells typically die, the alterations instruct the cell to quickly reproduce and remain alive. As a result, abnormal cells accumulate into a mass (tumor), which can penetrate and damage healthy human tissue. The abnormal cells can splinter off and spread (metastasize) throughout the body.

The EWSR1 gene is most frequently affected by DNA alterations in Ewing sarcoma. The cancer cells may be examined for mutations in this gene if the doctor suspects that you have Ewing sarcoma.

Risk factors

The following factor increases the risk factors for Ewing sarcoma:

  • Age: Ewing sarcoma can affect any age, but adolescents and teenagers have a higher risk of developing it.
  • Hereditary: People with European heritage have a higher incidence of Ewing sarcoma. People with African and East Asian ancestry are substantially less likely to experience it.