Very Late Local Relapse of Ewing's Sarcoma of the Head and Neck treated with Aggressive Multimodal Therapy
Figure 1
CT scan showing a
contrast-enhanced lesion with central sunburst pattern and calcifications black
asterisk (upper (axial view), lower (sagittal view)) was noted in the para-nasal
and cheek soft-tissues. It extended medially into the surrounding nasal bone
structures and posteriorly into the left maxillary sinus and nasal fossa. It
extended superiorly to palatine prosthesis black square. Insert on Figure 1(a)
shows conformational radiotherapy plan (according to Euro-Ewing 99
recommendations). Initial tumor volume was treated with a 2 cm margin and included
posttherapeutic scar tissue area white asterisk.
