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12 November 2025 : Case report  China

Lumbar Extradural Extraskeletal Ewing Sarcoma with Psoas Denervation: A Case Report

Mistake in diagnosis, Rare disease

Xiao Tian EF 1, Chuanping Gao ORCID logo AB 1*

DOI: 10.12659/AJCR.949885

Am J Case Rep 2025; 26:e949885

Figure 1 Magnetic resonance images of a 38-year-old man with extraskeletal Ewing sarcoma in the left paravertebral region. Sagittal (A) T1-weighted and (B) short tau inversion recovery images showed the lobulated soft tissue mass (arrow head) with a well-defined margin in the left paravertebral region. The lesion showed intermediate signal intensity on T1-weighting, with mild heterogeneity and hyperintensity on short tau inversion recovery imaging. (A) Patchy high-signal intensity was present within the mass, indicating hemorrhage (arrow). The psoas major muscle showed diffuse edema on (B) sagittal short tau inversion recovery imaging and (C) T2-weighted imaging; the normal muscle texture was maintained (arrow). (D) Axial T2-weighted image showed that the soft tissue mass extended into the left L1-L2 intervertebral foramen.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923