Skeletal Ewing Sarcoma with Multiple Metastases in Both Lungs Treated with Volumetric Modulated Arc Therapy:  A Case Report

Narendra Kumar Bhalla; Abhishek Puri; P. Mohandass; D. Palanivelu; Pratibha Bhalla

Research Article Open access CC BY 4.0

Skeletal Ewing Sarcoma with Multiple Metastases in Both Lungs Treated with Volumetric Modulated Arc Therapy: A Case Report

Narendra Kumar Bhalla, Abhishek Puri, P. Mohandass, D. Palanivelu, Pratibha Bhalla

International Research Journal of Oncology · pp. 143–147 · Published 5 Jul 2023

Abstract

Lung-only metastasis in Ewing Sarcoma (ES) is a rare presentation in an otherwise common skeletal malignancy with a poor 5-year overall survival (OS) of 30% and a 10-year event-free survival (EFS) of 50.3%, respectively. We report a first case of a 11-year-old male with ES lung-only metastatic disease who underwent whole lung irradiation (WLI) post standard chemotherapy with Volumetric Modulated Arc Therapy (VMAT) with an intent to reduce the radiation dose to critcial organs at risk (OAR’s) viz heart and spinal cord and document dosimetric paramters.

Sarcoma Ewing whole lung Irradiation volumetric modulated arc therapy organs at risk pulmonary function tests

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Narendra Kumar Bhalla, Abhishek Puri, P. Mohandass, D. Palanivelu, Pratibha Bhalla (2023). Skeletal Ewing Sarcoma with Multiple Metastases in Both Lungs Treated with Volumetric Modulated Arc Therapy: A Case Report. International Research Journal of Oncology , 143–147.

Affiliations

Narendra Kumar Bhalla — Department of Radiation Oncology, Fortis Hospital, Mohali, Punjab, India.
Abhishek Puri — Department of Radiation Oncology, Fortis Hospital, Mohali, Punjab, India.
P. Mohandass — Department of Radiation Oncology, Fortis Hospital, Mohali, Punjab, India.
D. Palanivelu — Department of Radiation Oncology, Fortis Hospital, Mohali, Punjab, India.
Pratibha Bhalla — University of Illinois, Chicago College of Medicine, USA.

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