Abstract
A Spanish speaking young man who presented with a painful supra-orbital head mass causing progressive diplopia and epistaxis. Initial clinical and radiological work-up suggested an esthesioneuroblastoma (i.e., olifactory neuroblastoma) with its associated good prognosis. However, further history (obtained through an interpreter) caused the primary physician to order a nuclear bone scan. The results from this scan dramatically changed the clinical approach, tumor work-up, diagnosis and treatment of this patient who was found to have an atypical metastatic Ewing sarcoma.
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