Bhagwan Mahaveer Cancer Hospital and Research Center, Jaipur reported a rare form of cancer called Ewing Sarcoma of Liver in a 4-year-old boy. The child has undergone chemotherapy and liver surgery and is now continuing with the remaining treatment at the hospital. Till date only four cases of Ewing Sarcoma Liver Cancer have been recorded across the globe and in all of those patients’ age was around 20 years. This one at the age of 4-years is considered to be very rare.
The surgery was conducted by Dr Shashikant Saini, Surgical Oncologist, Bhagwan Mahaveer Cancer Hospital and Research Center. “No such case has been witnessed till date, for such a young age of 4 years. The patient got registered at the hospital on June 2018, CT Scan was conducted and a 11 cm tumor was diagnosed in left side of the liver,” he said at a press conference.
With further investigation (CD99+, FLI1+) including biopsy and IHC test, cancer was confirmed. The patient was given chemotherapy and after that the left part of his liver (Left Hepatectony) was removed.
Liver surgery which in itself is extremely complicated process and the young age of the patient made it far more challenging for Dr. Shashikant Saini. Fortunately, the surgical procedure was successful and currently patient is undergoing the remaining sessions of chemotherapy in supervision of Dr Pawan Agarwal, Medical Oncologist at BMCHRC.
Yukinori Ozaki, Medical Oncologist and team from Japan reported the 4th case of Ewing Sarcoma of Liver, in 2015. Ewing sarcoma is a rare tumor that occurs commonly in the long bones of children or adolescents that can also arise in soft tissues including the extremities, retroperitoneum, chest wall, and rarely in the liver as primary sites.