Sarcoma de Ewing Primário do Osso Temporal: Um Caso Incomum com Metástase à Distância

Abstract

Introduction: Ewing's sarcoma is a rare and aggressive type of cancer that affects bone or soft tissues. It originates from precursor cells of bone tissue or the peripheral nervous system, with its incidence peaking during the second decade of life. It is most commonly found in long bones but can, rarely, affect the head and neck region. Case Report: This case involves a 13-year-old female adolescent who initially presented with left-sided otalgia and subsequently developed ipsilateral peripheral facial paralysis. Subsequent diagnosis revealed a primary Ewing's sarcoma of the temporal bone. Discussion: The discussion covers the disease progression, its clinical and pathological characteristics, as well as the diagnostic and therapeutic methods applied in this case. Conclusions: This is an extremely rare case of Ewing's sarcoma of the temporal bone with distant metastases. The progression of this case highlights the need for constant vigilance and the consideration of the potential for distant spread, guiding the establishment of personalized treatment protocols aimed at optimizing clinical outcomes in such unique and challenging situations.