A Case of Ewing’s Sarcoma of the Left Chest in a Patient Undergoing Chest Wall Resection With Left Lung Pneumonectomy After Chemotherapy

Abstract

We present the case of Ewing’s sarcoma in a patient who was successfully treated by surgery after chemotherapy. The patient was a 9-year-old girl with a very large tumor on her left chest. Chemotherapy was very effective and the tumor size decreased considerably. Therefore, we decided to perform surgery as a curative measure. We performed chest wall resection and left lung pneumonectomy. Moreover, because the defect in part of the chest wall caused by the surgery was large, we performed chest wall reconstruction with orthopedic and plastic surgeons. A histopathological examination after the surgery revealed that the surgical margins were negative. Eighteen months after the surgery, she showed neither evidence of recurrence or metastasis nor complications associated with the surgery. Surgical treatment is effective for localized Ewing’s sarcoma as a local treatment.