CASE 28: Ewing Sarcoma Located in the Right Pubic Arm

• 28-year-old female patient
• The pain and swelling in the groin area, which has been present for 5 months, has increased over time.
• The patient was diagnosed with Ewing sarcoma after a needle biopsy.
• The patient, who had no metastases detected in the scans, underwent type 3 resection and fibula/titanium plate reconstruction after receiving 4 cycles of neoadjuvant chemotherapy.
• The patient experienced no problems during or after the surgery and was referred to medical oncology for continuation of chemotherapy following wound healing in the second week.

Preoperative examination: X-ray shows irregularity in the right pubic limb, and MRI reveals an accompanying soft tissue component and peritumoral edema.

During the Operation: The incision planning, the removed tumor tissue, and the reconstruction are shown.

Postoperative Image: The image shows the reconstruction of the fibula after resection using a plate/screw.