THE SURVIVAL OUTCOME OF PAEDIATRIC EWING SARCOMA, A SINGLE CENTRE STUDY.

Main Article Content

Benish Hira
Tariq Ghafoor
Abdul Wahab Siddique
Awais Arshed
Shaista Naz
Hashim Khan

Keywords

Ewing sarcoma, primitive neuroectodermal tumor, pediatric oncology

Abstract

Purpose of the Study: This study aims to evaluate the survival outcomes of children diagnosed with Ewing sarcoma (ES) and primitive neuroectodermal tumor (PNET).


 Place of the Study: This retrospective, single-center study included 65 pediatric patients from CMH Rawalpindi from January 2023 to December 2023.


 Methods and Materials: This retrospective, single-center study included 65 pediatric patients diagnosed with ES or PNET from January 2023 to December 2023. Data were collected from patient medical records.


 Results: The study population consisted of 67.1% males and 32.9% females, with ages ranging from 2 months to 18 years. The highest incidence of ES was observed in males aged 6-10 years. The primary tumor sites included the chest (14.3%), pelvis (9.5%), and tibia (9.5%). Treatment responses varied, with 38.1% of patients showing tumor regression, while 14.3% had stable disease, and 19% of patients were deceased. Adverse effects included febrile neutropenia (19%), cardiogenic shock (9.5%), and fungal pneumonia (9.5%).


 Conclusion: The demographic and clinical data from this study highlight the predominance of male patients and the higher incidence of ES in children aged 6-10 years. The primary tumor locations were diverse, emphasizing the need for tailored diagnostic and therapeutic strategies. These findings underscore the importance of supportive care and the need for further research to optimize treatment protocols and improve survival rates.

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References

1. Gaspar N, Hawkins DS, Dirksen U, Lewis IJ, Ferrari S, Le Deley MC, et al. Ewing Sarcoma: Current Management and Future Approaches Through Collaboration. J Clin Oncol. 2018;36(27):3373-84. doi: 10.1200/JCO.2018.78.9890.
2. Gulia A, Gupta S, Puri A, Desai S, Laskar S, Merchant N. Ewing Sarcoma of Pelvis: A Review of 78 Cases Treated with Curative Intent in a Tertiary Cancer Center. Indian J Orthop. 2019;53(3):443-8. doi: 10.4103/ortho.IJOrtho_176_18.
3. Leavey PJ, Collier P. Ewing Sarcoma: Rethinking the Concept of Multidisciplinary Care. J Pediatr Hematol Oncol. 2019;41(6):390-3. doi: 10.1097/MPH.0000000000001556.
4. Mora J, Spunt SL. Surveillance and Management of Adverse Effects in Long-Term Survivors of Ewing Sarcoma. Hematol Oncol Clin North Am. 2020;34(1):139-55. doi: 10.1016/j.hoc.2019.09.004.
5. Khan SJ, Fowler M, Ferguson PC, Wunder JS, Gupta A, Chung PW, et al. Survival Outcomes for Patients With Extraskeletal Ewing Sarcoma: Twenty Years of Experience at a Single Institution. Cancer. 2020;126(8):1781-9. doi: 10.1002/cncr.32726.
6. Raciborska A, Bilska K, Drabko K, Sobol G, Michalak E, Chaber R, et al. High-Dose Chemotherapy Followed by Autologous Stem Cell Transplantation in Patients with Metastatic Ewing Sarcoma: A Single-Center Experience. Adv Clin Exp Med. 2021;30(2):145-51. doi: 10.17219/acem/130110.
7. Raciborska A, Bilska K, Drabko K, et al. VIDE vs VAI chemotherapy for treatment of metastatic and/or relapsed Ewing sarcoma (ES): results of a randomised European Ewing Tumour Working Initiative of National Groups (EE99) trial. Ann Oncol. 2018;29(8):1740-1746.
8. Ghimire P, Koirala A, Baral G, Sharma D. Predictors of Outcome in Ewing Sarcoma Family of Tumors: Experience from a Tertiary Cancer Center in Nepal. Pediatr Hematol Oncol J. 2022;7(3):125-31. doi: 10.1016/j.phoj.2022.06.003
9. Raciborska A, Bilska K, Drabko K, et al. VIDE vs VAI chemotherapy for treatment of metastatic and/or relapsed Ewing sarcoma (ES): results of a randomised European Ewing Tumour Working Initiative of National Groups (EE99) trial. Ann Oncol. 2018;29(8):1740-1746.
10. McCulloch D, Fern LA, Johnson RH, Strauss SJ. Improving Outcomes for Teenagers and Young Adults with Cancer: Insights from the Ewing Sarcoma Experience. Br J Cancer. 2021;125(12):1691-9. doi: 10.1038/s41416-021-01597-y.
11. Sindhu II, Mehreen A, Wali RM, Abubakar M. Clinical Outcome of paediatric ewing sarcoma and significance of pathological necrosis for mortality after neoadjuvant chemotherapy: Single institutional study. Journal of Pakistan Medical Association. 2021 Oct 31;71(10):2344-.
12. Uyeturk U, Helvaci K, Demirci A, Sonmez OU, Turker I, Afsar CU, Budakoglu B, Arslan UY, Oksuzoglu OB, Zengin N. Clinical outcomes and prognostic factors of adult’s Ewing sarcoma family of tumors: single center experience. Contemporary Oncology/Współczesna Onkologia. 2016 Jan 1;20(2):141-6.
13. Jakutis G, Ragelienė L, Rascon J. Survival of children treated for Ewing sarcoma in Lithuania: a single centre experience. Acta medica Lituanica. 2017;24(4):199.

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