A Rare Case of Mid-clavicular Ewing Sarcoma Treated With Total Claviculectomy: A Case Report and Literature Review

TL;DR

A 13-year-old girl was diagnosed with rare mid-clavicular Ewing sarcoma and treated with total claviculectomy, followed by a literature review on treatment outcomes.

Contribution

Presents a rare case of Ewing sarcoma and provides a literature review on claviculectomy outcomes.

Findings

The patient was initially misdiagnosed with a benign lipoma before being correctly diagnosed with Ewing sarcoma.

Total claviculectomy was performed as part of the treatment plan.

Literature review highlights limited evidence and outcomes of claviculectomy procedures.

Abstract

Ewing sarcoma of the clavicle is an extremely rare tumor. The currently available evidence is limited to a small number of case reports. We present a case of a 13-year-old female patient referred to our tertiary care center with a progressively growing lump over the mid-clavicular, mystically diagnosed as a benign lipoma in a rural hospital. Radiological investigations and histopathological examination confirmed the diagnosis of metastatic Ewing sarcoma of the mid-clavicle. We outlined the management plan done for this patient followed by a description of the surgical technique of the total claviculectomy performed. Furthermore, we conducted a literature review on the available evidence on this topic and the functional outcomes of partial and total claviculectomy with or without reconstruction.

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