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Warning signs, symptoms and treatments of pediatric cancer and Ewing’s sarcoma

Ewing's sarcoma, a type of pediatric cancer, spreads when tumor cells enter the blood supply and are circulated to other parts of the body where they may form secondary tumors (metastases). Chemotherapy is given to kill circulating tumor cells. Secondary tumors are most commonly found in the lungs and other bones. Tumor cells may also spread via the lymphatic system. Also, tumors can spread by direct growth of the primary tumor.

What are the symptoms of Ewing's sarcoma? Symptoms of Ewing's sarcoma vary from patient to patient and depend on the location and size of the cancer.
The most common symptoms are:

  • Pain and swelling or tenderness in the affected area. Pain may become very intense when the tumor is located near important nerves.
  • Swelling is prevalent, especially when the long bones of the arms or legs are affected.
  • Fractures may be caused by weakening of the bones related to tumors.
  • Other symptoms of cancer may include tiredness, fever, weight loss, and anemia.

However, none of these symptoms is a sure sign of cancer which is why early detection and prognosis is so important as well as a knowledgeable doctor who is willing to take the proper tests at his disposal.

What are the treatments for Ewing’s sarcoma? Pediatric cancer patients with Ewing's sarcoma receive a combination of cancer-fighting drugs (chemotherapy) as well as surgery or radiation. Even when the tumor is detected at a very small size, there may be evidence of microscopic spread. For this reason, Ewing's sarcoma requires treatment to the entire body. This treatment includes chemotherapy which should destroy pediatric cancer cells which have spread to the rest of the body, and to shrink the main mass of tumor cells.

In about 80 percent of Ewing's sarcoma cases involving an arm or leg, the limb can be saved, if there was no failure to diagnose this pediatric cancer disease. Significant limb-saving techniques include bone grafts, rotation-plasty, and prosthetic implants. Pediatric cancer patients may also participate in clinical trials. Clinical trials for children and adolescents with pediatric cancer are generally designed to compare potentially better therapy with therapy that is currently accepted as standard. Most of the progress made in identifying curative therapies for childhood cancers has been achieved through clinical trials.

The Ewing’s sarcoma family of tumors include: Ewing’s tumor of bone; extraosseus (tumor growing outside of the bone); primitive neuroectodermal tumor (PNET), also known as peripheral neuroepithelioma; and Askin’s tumor (PNET of the chest wall). These tumors are rare diseases in which malignant cancer cells are found in the bone and soft tissues. Ewing’s family of tumors most frequently occur in teenagers.

The most common types of pediatric cancer are leukemia, lymphoma, and tumors in the brain or abdomen. Suspect pediatric cancer in a child with any of the following symptoms:

  • unexplained bruises
  • persistent oozing from mouth or nose
  • bone pain that is not localized to a specific area and wakes the child at night
  • limping or unable to bear weight
  • backache
  • swollen lymph glands that do not reduce in size – biopsy recommended
  • headaches lasting longer than 2 weeks
  • early morning vomiting

Has your child or grandchild been diagnosed improperly for Ewings sarcoma? How can you fight back? Click here for a FREE, no-obligation consultation with a pediatric cancer failure diagnosis lawyer.


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