Primary Ewing's sarcoma of the skull: radical resection and immediate cranioplasty after chemotherapy. A technical note期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Primary Ewing's sarcoma of the skull: radical resection and immediate cranioplasty after chemotherapy. A technical note

Authors:	Maria Castle Mónica Rivero Javier Marquez

Affiliation:	1. Department of Neurosurgery, Donostia University Hospital, Donostia, Gipuzkoa, Spain 3. Neurosurgical Department, Hospital Universitario Donostia, Paseo Dr Beguiristain s/n, CP 20014, San Sebastian, Guipuzcoa, Spain 2. Department of Neurosurgery, Virgen del Rocio University Hospital, Seville, Andalusia, Spain

Abstract:	Purpose The current standard treatment of Ewing's sarcoma is chemotherapy followed by surgery, making an immediate cranial reconstruction in a one-step surgical procedure possible. Methods We describe the technique used to repair a cranial defect after the resection of a primary Ewing's sarcoma of the skull in a one-step surgical procedure. Results Bone repair with a custom-made cranioplasty immediately after resection of a primary Ewing's sarcoma of the skull avoids deformities and late complications associated with reconstructive surgery after radiotherapy and not interfere with radiotherapy and neither with follow-up. Conclusion A one-step surgical procedure after chemotherapy for primary Ewing's sarcoma of the skull could be safer, less aggressive and more radical; avoiding deformities and late complications.

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