title: Multifocal Ewing sarcoma of the foot.
abstract: Multifocal skeletal Ewing sarcoma is very rare. A 10-year-old boy presented with multiple independent lesions involving the first phalanx of the middle toe, the second metatarsal bone, the cuneiform and cuboid bones, and the talus. Diagnosis of Ewing sarcoma was confirmed by open biopsy of 2 nonadjacent bones. Chest computed tomography disclosed the presence of multiple lung metastases. The patient underwent chemotherapy, below-knee amputation, and lung irradiation. To the best of the authors' knowledge, no similar case has been previously reported in the literature.
authors.affiliation: Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon.
authors.forename: Hayan
authors.initials: H
authors.lastname: Rammal
authors.forename: Ismat
authors.initials: I
authors.lastname: Ghanem
authors.forename: Paul-Henri
authors.initials: PH
authors.lastname: Torbey
authors.forename: Fernand
authors.initials: F
authors.lastname: Dagher
authors.forename: Khalil
authors.initials: K
authors.lastname: Kharrat
mesh_terms: D000671:Amputation, Surgical; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D002648:Child; D005529:Foot Bones / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D009362:Neoplasm Metastasis; D013902:Radiography, Thoracic; D012512:Sarcoma, Ewing / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome