An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case report

Primary renal Ewing sarcoma/primitive neuroectodermal tumor (PNET) is a very rare and aggressive malignant tumor. We report a case of a young adult who presented with painless hematuria and acute urinary retention and was subsequently diagnosed with localized left renal Ewing sarcoma following robot...

詳細記述

書誌詳細
出版年:Frontiers in Oncology
主要な著者: Wei Lun Tan, Iqbal Hussain Rizuana, Bang Rom Lee, Xeng Inn Fam
フォーマット: 論文
言語:英語
出版事項: Frontiers Media S.A. 2025-09-01
主題:
オンライン・アクセス:https://www.frontiersin.org/articles/10.3389/fonc.2025.1602774/full
_version_ 1849289661696966656
author Wei Lun Tan
Iqbal Hussain Rizuana
Bang Rom Lee
Xeng Inn Fam
author_facet Wei Lun Tan
Iqbal Hussain Rizuana
Bang Rom Lee
Xeng Inn Fam
author_sort Wei Lun Tan
collection DOAJ
container_title Frontiers in Oncology
description Primary renal Ewing sarcoma/primitive neuroectodermal tumor (PNET) is a very rare and aggressive malignant tumor. We report a case of a young adult who presented with painless hematuria and acute urinary retention and was subsequently diagnosed with localized left renal Ewing sarcoma following robotic-assisted retroperitoneal partial nephrectomy. Histopathology revealed a tumor composed of nests and lobules of monotonous tumor cells with round nuclei, indistinct nucleoli, and scanty cytoplasm, associated with a vascular-rich to hyalinized stroma and fibrillary neural matrix. Moderate nuclear pleomorphism, scattered necrosis, and pseudorosette formation were noted. Immunohistochemical studies demonstrated tumor cell positivity for CD99 and CD117. The patient was subjected to chemotherapy. Early diagnosis and multimodality treatment play an important role in improving survival rate.
format Article
id doaj-art-2daaee96abb44462aaed8dbfd8a43e64
institution Directory of Open Access Journals
issn 2234-943X
language English
publishDate 2025-09-01
publisher Frontiers Media S.A.
record_format Article
spelling doaj-art-2daaee96abb44462aaed8dbfd8a43e642025-09-09T04:15:41ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-09-011510.3389/fonc.2025.16027741602774An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case reportWei Lun Tan0Iqbal Hussain Rizuana1Bang Rom Lee2Xeng Inn Fam3Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaDepartment of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaDepartment of Pathology, Hospital Picaso, Petaling Jaya, MalaysiaUrology Unit, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaPrimary renal Ewing sarcoma/primitive neuroectodermal tumor (PNET) is a very rare and aggressive malignant tumor. We report a case of a young adult who presented with painless hematuria and acute urinary retention and was subsequently diagnosed with localized left renal Ewing sarcoma following robotic-assisted retroperitoneal partial nephrectomy. Histopathology revealed a tumor composed of nests and lobules of monotonous tumor cells with round nuclei, indistinct nucleoli, and scanty cytoplasm, associated with a vascular-rich to hyalinized stroma and fibrillary neural matrix. Moderate nuclear pleomorphism, scattered necrosis, and pseudorosette formation were noted. Immunohistochemical studies demonstrated tumor cell positivity for CD99 and CD117. The patient was subjected to chemotherapy. Early diagnosis and multimodality treatment play an important role in improving survival rate.https://www.frontiersin.org/articles/10.3389/fonc.2025.1602774/fullrenal Ewing sarcomaprimitive neuroectodermal tumor (PNET)laparoscopic nephrectomychemotherapycase report
spellingShingle Wei Lun Tan
Iqbal Hussain Rizuana
Bang Rom Lee
Xeng Inn Fam
An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case report
renal Ewing sarcoma
primitive neuroectodermal tumor (PNET)
laparoscopic nephrectomy
chemotherapy
case report
title An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case report
title_full An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case report
title_fullStr An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case report
title_full_unstemmed An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case report
title_short An exceptional oncological enigma: primary renal Ewing sarcoma in a clinical context—a case report
title_sort exceptional oncological enigma primary renal ewing sarcoma in a clinical context a case report
topic renal Ewing sarcoma
primitive neuroectodermal tumor (PNET)
laparoscopic nephrectomy
chemotherapy
case report
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1602774/full
work_keys_str_mv AT weiluntan anexceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport
AT iqbalhussainrizuana anexceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport
AT bangromlee anexceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport
AT xenginnfam anexceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport
AT weiluntan exceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport
AT iqbalhussainrizuana exceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport
AT bangromlee exceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport
AT xenginnfam exceptionaloncologicalenigmaprimaryrenalewingsarcomainaclinicalcontextacasereport