title: Primary Ewing's sarcoma of the skull: radical resection and immediate cranioplasty after chemotherapy. A technical note.
abstract: OBJECTIVE
  The current standard treatment of Ewing's sarcoma is chemotherapy followed by surgery, making an immediate cranial reconstruction in a one-step surgical procedure possible.
  
  
  METHODS
  We describe the technique used to repair a cranial defect after the resection of a primary Ewing's sarcoma of the skull in a one-step surgical procedure.
  
  
  RESULTS
  Bone repair with a custom-made cranioplasty immediately after resection of a primary Ewing's sarcoma of the skull avoids deformities and late complications associated with reconstructive surgery after radiotherapy and not interfere with radiotherapy and neither with follow-up.
  
  
  CONCLUSIONS
  A one-step surgical procedure after chemotherapy for primary Ewing's sarcoma of the skull could be safer, less aggressive and more radical; avoiding deformities and late complications.
authors.affiliation: Department of Neurosurgery, Donostia University Hospital, Donostia, Gipuzkoa, Spain. lumacara@yahoo.com
authors.forename: Maria
authors.initials: M
authors.lastname: Castle
authors.forename: Mónica
authors.initials: M
authors.lastname: Rivero
authors.forename: Javier
authors.initials: J
authors.lastname: Marquez
mesh_terms: D000293:Adolescent; D000970:Antineoplastic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D020366:Methylmethacrylate / Q000008:administration & dosage*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012512:Sarcoma, Ewing / Q000188:drug therapy* / Q000601:surgery*; D012888:Skull Neoplasms / Q000188:drug therapy* / Q000601:surgery*
chemical_list: D000970:Antineoplastic Agents; D020366:Methylmethacrylate