Abstract
Ewing's sarcoma, an aggresive malignant round cell tumour of bones , arising most commonly in long bones and in young age group. This is a case report of Ewing's sarcoma of extra osseous origin arising from cartilagenous septum and in atypical age group, A 51 year old male, presented to ENT opd with 2 years history of right sided nasal obstruction and reccurent unprovoked anterior epistaxis. Biopsy taken from the mass in right nasal cavity revealed small round blue cell tumor on HPE , and, NKX2.2, CK and Synaptophysisn are positive. PET CT conrmed a local metastatic node ( level 1B ). Post surgery( excision of tumour with free margins ) , Patient is on chemotherapy and is on regular follow up. No evidence of reccurence and metastases were observed so far
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