| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 483-485 |
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Extraosseous sinonasal tract metastasis of Ewing's sarcoma presenting with sixth cranial nerve palsy
Mousumi Banerjee1, Shorya Vardhan Azad2, Akshra Pahuja1, Arvind Kairo3
1 Senior Resident, Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
2 Associate Professor, Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
3 Consultant in Otorhinolaryngology, AIIMS, New Delhi, India
Correspondence Address:
Shorya Vardhan Azad
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2919_22
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Ewing's sarcoma (ES) is a rare, aggressive, and fatal malignancy of bones and soft tissues that affect children and adolescents. It has a high potential of hematogenous metastasis, with lungs, bones, and bone marrow being the most common sites. Extraskeletal metastasis of Ewing's sarcoma in the sinonasal cavity is rare and usually presents with nasal complaints and periorbital swelling. Diplopia as the presenting complaint of sinonasal tract metastasis of Ewing sarcoma has not been reported in the literature. A high suspicion for metastasis should be kept in mind in patients presenting with atypical ophthalmic findings of Ewing sarcoma and appropriate radio imaging should be procured for early intervention.
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