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Case Reports   |    
Ewing Sarcoma in an Octogenarian A Case Report
Richard G. Levine, MD; Christopher M. Bono, MD; Meera Hameed, MD; Marcia Blacksin, MD; Anna C. Pavlick, MD; Charles Cathcart, MD; Joseph Benevenia, MD
The Journal of Bone & Joint Surgery.  2002; 84:445-448 
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Extract

Ewing sarcoma is a round-cell bone tumor that most often affects older children and adolescents1. Although less common, Ewing sarcoma in adults has been documented in clinical reports; the tumor primarily occurs in patients less than forty years of age, and the oldest patient in whom it was previously reported was sixty-one years of age1. The prognosis in adults and their response to current treatment modalities have been topics of discussion in recent studies. Diagnosis is crucial, since lymphoma has a similar cytologic appearance and is more common in the elderly, but it differs in terms of both treatment and prognosis. We present a case of Ewing sarcoma in an octogenarian, in whom the findings on cytologic, histochemical, and cytogenetic examination facilitated accurate diagnosis and directed treatment.
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