Rib graph bone grafting in the treatment of a patient with Ewing sarcoma of the pelvic bones

The Ewing sarcoma is one of the two most common bone tumors that occur during childhood and adolescence. This pathology in more than 50 % of cases occurs in the 2nd decade of life and is rare in adults older than 30 years. In men, the Ewing sarcoma develops more often (male-to-female ratio is 1.5:1). This disease is rare in Black patients and Asians. Ewing sarcoma usually occurs in the metaphysis or diaphysis of the long bones of the extremities. Lesions of the pelvic region, ribs and shoulder blades are less common. The most common foci of metastasis are the lungs, bones, and bone marrow.

The article describes a clinical case of treatment of a 12-year-old girl with Ewing sarcoma of the pelvic bones (chemotherapy with a surgical stage: single-stage bone grafting of the resected section of the pubic bone using a rib graft).