Ewing's sarcoma (Pediatrics - PEDS)

Low urgency
-Moderately severe

It is a bone cancer that affects children and adolescents, mostly white.

It is formed as a result of a genetic alteration. Its most frequent location is at the level of the pelvis and femur.

It usually doesn't cause much discomfort at first, but sometimes there is pain and swelling of the affected bone for weeks, which will be larger and different in shape than the same bone on the other side.

Diagnosis requires a medical history and a complete physical examination. The confirmation diagnosis is made with complementary tests such as X-rays, bone biopsy, bone scintigraphy, computed tomography and magnetic resonance imaging.

A pediatrician or traumatologist should be consulted to expand the study and indicate the treatment, which is usually surgery (less and less aggressive), chemotherapy and radiotherapy.

Bibliographic references
  1. Thomas F DeLaney. Francis J Hornicek, Henry J Mankin. Clinical presentation, staging, and prognostic factors of the Ewing sarcoma family of tumors. UpToDate. Oct 17, 2016.
  2. Granowetter L, Womer R, Devidas M, et al. Dose-intensified compared with standard chemotherapy for nonmetastatic Ewing sarcoma family of tumors: a Children's Oncology Group Study. J Clin Oncol 2009; 27:2536.
  3. Applebaum MA, Worch J, Matthay KK, et al. Clinical features and outcomes in patients with extraskeletal Ewing sarcoma. Cancer 2011; 117:3027.
  4. Escofet R. Osteosclerosis. Farreras Rozman. Medicina Interna. Volumen 1. 12º edición: 1104.
  5. Marina N, Granowetter L, Grier HE, et al. Age, Tumor Characteristics, and Treatment Regimen as Event Predictors in Ewing: A Children's Oncology Group Report. Sarcoma 2015; 2015:927123.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Bone pain


    Lump when touching the bone


    Soft, painful lump to touch


    Weight loss over the last 4-8 weeks


    Fever / Feel very hot

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Pain that does not subside with analgesics.
Difficulty breathing

Self-care

If you have pain, use over-the-counter pain relievers.
Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Maintain a fluid intake of 6 - 8 cups per day.
Often take part in activities that help reduce anxiety levels (yoga, tai chi, meditation).