Introduction

Ewing sarcoma is a malignant, distinctive small round cell sarcoma associated with an 11-22 translocation and most commonly occurs in the diaphysis of long bones. Patients typically present at age less than 25 with insidious onset of regional pain, swelling, and fevers. Treatment is usually neal adjuvant chemotherapy, limb-savage surgical resection followed by adjuant chemotherapy with or without radiation.