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Isolated delayed metastasis to the talus from Ewing`s sarcoma

Free full text article: Isolated delayed metastasis to the talus  from Ewing`s sarcoma

Abstract
Bone metastasis to the hands and feet, known as acrometastasis, is a very rare finding and tends to be associated with extensive metastasis. We herein report the case of a 14-year-old girl known to have a history of successfully treated Ewing`s sarcoma arising from the ribs, who presented with a pathologically proven isolated metastatic lesion to the talus 7 years after achieving clinical and radiologic remission. We describe the imaging findings on MRI, CT scan and PET-CT. To our knowledge, talar metastasis from Ewing`s sarcoma has been previously reported only twice in the English literature. Noteworthy is the fact that one of the previously reported lesions was considered a skip metastasis, and the other was under-described in terms of primary and secondary tumor location and time to metastasis. In addition, the overall imaging findings were rather suggestive of a benign lesion, particularly on CT scan.






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Keyword search:

1. Ewing Sarcoma

2. Talus

3. Bone metastases

4. CT scan

5. MRI

6. PET-scan


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