title: Nonmetastatic Ewing's Sarcoma of the Lumbar Spine in an Adult Patient.
abstract: Although the spine is frequently involved in metastatic Ewing's sarcoma, primary involvement of the spine, beside sacrum, is much less frequent, especially in adult patients. Because of the low incidence of these tumors, there are currently no clinical guidelines outlining their management and a multitude of therapeutic strategies have been employed with varying success. The definitive management of Ewing's sarcoma of the spine, as in other locations, could include the combination of three main modalities: aggressive surgery, radiotherapy, and combined chemotherapy. Whenever possible, en bloc spondylectomy or extralesional resection is preferable, providing a better oncological result with a longer survival and a better preservation of the spine biomechanics. This is the lesson we learned about the case, we present here, of nonmetastatic lumbar localization by Ewing's sarcoma in as adult patient.
authors.affiliation: Dipartimento di Neurochirurgia, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Via Conca No. 71, 60020 Ancona, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Iacoangeli
authors.forename: Mauro
authors.initials: M
authors.lastname: Dobran
authors.forename: Alessandro
authors.initials: A
authors.lastname: Di Rienzo
authors.forename: Lucia Giovanna Maria
authors.initials: LG
authors.lastname: di Somma
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Alvaro
authors.forename: Elisa
authors.initials: E
authors.lastname: Moriconi
authors.forename: Niccolò
authors.initials: N
authors.lastname: Nocchi
authors.forename: Maurizio
authors.initials: M
authors.lastname: Gladi
authors.forename: Massimo
authors.initials: M
authors.lastname: Scerrati