Ewing’s Sarcoma

Do I have a Case?

Childhood Cancer

Symptoms & Treatments

Pediatric Cancer Warning Signs

Childhood Cancer Treatment

FAQs about Ewing’s sarcoma

Childhood Cancer Resources

Ewings Sarcoma News Articles

Ewings Sarcoma Stories

Ewing's Sarcoma Resources

Signs of Childhood Cancer

Signs of Childhood Cancer

Based on information from http://www.acor.org/ped-onc/diseases/SOCC.html.

What are the odds of developing childhood cancer such as Ewing's sarcoma?
The odds of your child developing cancer by the age of 19 is approximately 1 in 330.

My doctor said there is nothing wrong...?
You need to trust your instincts. When you feel that there is really something wrong with your child, even if the doctor initially interprets the symptoms as a common child ailment. Your doctor may be right, but you need to make sure certain tests are performed to rule out cancer.

What are the signs of Childhood Cancer?
Cancer in children is fairly rare, but is often curable. It is important to make an early diagnosis. For this a high index of suspicion is necessary. The commonest types of cancer in childhood are leukaemia, lymphomas and tumours in the brain or abdomen. Suspect cancer in a child with any of the following features:

1. Pallor plus bleeding (such as purpura, unexplained bruises or
   persistent oozing from mouth or nose).

2. Bone pain
   . not localised to specific area and that often wakes the child at
   night
   . a child who develops a limp, or a toddler who becomes reluctant to
   bear weight, or who stops walking
   . always investigate backache in a child.

3. Localised lymphadenopathy, when persistent and unexplained
   . Beware of axillary / inguinal / cervical glands that are > 2 cm in
   diameter, discrete and non-tender, and do not get smaller after 2 weeks'
   treatment with antibiotics.
   . 'tuberculous' nodes not responding to treatment within 6 weeks
   . glands in the supraclavicular area
   . biopsy these nodes.

4. Unexplained neurological signs
   . headaches lasting longer than 2 weeks
   . early morning vomiting
   . ataxia (walks unsteadily)
   . cranial nerve palsy

5. An unexplained mass
   . important sites are the abdomen, testes, head and neck and limbs
   . if a young child with abdominal distension is uncooperative, examine
   under sedation (Vallergan 2 mg/kg) to be sure that a mass is not present.

6. Persistent unexplained fever, apathy or weight loss
   . first exclude urinary tract infection, tuberculosis and HIV
   . then consider malignancy.

7. Eye changes
   . white reflex
   . recent onset of squint
   . proptosis
   . loss of vision
   . refer children with these eye changes urgently to a centre with an
   ophthalmologist.
   
    

   Do you have a failure to diagnose Ewing’s sarcoma case? CONTACT INFORMATION
   Name of Child
   Date of Birth	MM January February March April May June July August September October November December DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
   Name of Parent
   E-mail Address:
   Address:
   City:
   State:	-Please Select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
   Zipcode:
   Phone	() - ext.
   CASE INFORMATION
   Date when symptoms first started:	MM January February March April May June July August September October November December DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
   Date of diagnosis of cancer:	MM January February March April May June July August September October November December DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
   What was the diagnosis:
   Please describe what happened: