Abstract

Early diagnosis of metastatic spinal disease is important because functional outcome depends on neurologic condition at the time of diagnosis. Epidural metastasis to the spine from Ewing's sarcoma is very uncommon. Despite the fact that epidural involvement has been described in a few cases of primary extraskeletal Ewing's sarcoma, it is considerably rare. Metastatic epidural involvement secondary to Ewing's sarcoma is even rarer. With the rapid increase in the utilization and acceptance of PET/CT imaging in oncological practice, it is playing an ever-increasing role in detecting malignant spread to several unexpected sites. This report is, to the best of our knowledge, the first description of the PET/CT findings of this extremely rare entity.

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