Ewing’s family of tumors, otherwise referred to as Ewing sarcomas, is a type of cancer which manifests in the bones, along with the surrounding soft tissues. This group of tumors commonly manifest in teens and older children. Nevertheless, people of any age may develop Ewing’s sarcoma.


Ewing’s family of tumors is commonly classified through the following types:

Peripheral Primitive Neuroectodermal Tumor. This is the rare type of Ewing sarcoma.

Extraosseous Ewing tumor (EOE). This type of Ewing sarcoma begin manifesting within the soft tissues surrounding the bone. Hence, it can be mistaken as Ewing sarcoma in the bone.

Ewing’s tumor of the bone. This is the most common type within the Ewing’s family of tumors. Compared to osteosarcoma cells, the cells of this condition looks different under the microscope. Nevertheless, the Ewing tumor of the bone is often responsive to radiation therapy.


This condition often causes stiffness, pain, or inflammation along the tumor’s area, which may easily be mistaken as injuries from sports for children. Aside from those, symptoms for Ewing’s family of tumors may include:

  • Low fever that recurs/is constant
  • Pain in the bones
  • A lump in the skin
  • Limping
  • Aching legs
  • Random broken bones
  • Feeling of tiredness all the time
  • Paralysis
  • Constant tiredness


The following tests may be used to diagnose Ewing’s family of tumors:

  • Physical tests
  • Bone scan
  • Imaging tests
  • Blood tests
  • Biopsy
  • Bone marrow aspiration


The cancer treatment team creates personalized treatment programs based on the following criteria:

  • The patient’s age, general health, and medical history
  • The size and location of the tumor
  • Tolerance to certain drugs, surgeries, or therapies by the patient
  • The prognosis for the disease’s progression
  • The patient’s and parent’s preferences or opinions

Treatment options may include the following, depending on the stage of the tumor:

  • Radiation therapy. A specialist will kill your cancer cells through exposing them to radiation.
  • Chemotherapy. Medications that can eliminate cancer cells and stop their growth are prescribed by your doctor. This is often the first treatment procedure that is recommended. Moreover, your physician may make use of several chemotherapies at once, or they may administer this along with radiation therapy and surgery, depending on your prognosis.
  • Surgery. In order to prevent the tumor from spreading, it will be removed through surgery. For severe cases, amputation might be required.

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