Ultrasonic manifestations of Ewing sarcoma in children
10.13929/j.issn.1003-3289.2025.04.029
- VernacularTitle:儿童尤因肉瘤超声表现
- Author:
Na XU
1
;
Ziyi WANG
;
Luyao ZHOU
;
Zhou LIN
;
Xia FENG
;
Haonan ZHAI
;
Xiuli YUAN
;
Youping WANG
;
Wei SHI
Author Information
1. 汕头大学医学院附属深圳市儿童医院超声科,广东 深圳 518034;深圳大学附属深圳市儿童医院超声科,广东 深圳 518034
- Publication Type:Journal Article
- Keywords:
sarcoma,Ewing;
child;
ultrasonography
- From:
Chinese Journal of Medical Imaging Technology
2025;41(4):646-650
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe conventional ultrasound and contrast-enhanced ultrasound(CEUS)manifestations of Ewing sarcoma(ES)in children.Methods Fifteen children with pathologically confirmed ES were retrospectively collected.Conventional ultrasound and CEUS characteristics of lesions were analyzed.Results Among 15 cases,ES of bone(ESB)was found in 7 cases,while extraskeletal ES(EES)was observed in the other 8 cases.Solitary tumor was noticed in 14 cases,with a median maximum diameter of 7.50 cm,while multiple abdominal masses were found in 1 case.The tumors had irregular shapes and poorly defined boundaries,with medium echogenicity in 7 cases,low echogenicity in 6 cases,while in other 2 cases present as cystic-solid lesions.CDFI showed sparse blood flow in 11 cases,abundant or slightly abundant blood flow in 2 and 1 case,respectively,while no obvious blood flow was observed in 1 case.Rapid high enhancement and rapid washout were found in all 7 cases underwent CEUS,while patchy no-enhancement areas were detected in 4 cases.Conclusion Conventional ultrasonic manifestations of ES had certain specificities,which demonstrated a rapid enhancement and rapid washout pattern during CEUS and may be accompanied by necrosis.