Ewing's Sarcoma with Neuroblastoma-like Features

Four tumors with the clinical and light microscopic features of Ewing's sarcoma contained cells that possessed to varying degrees ultrastructural features suggestive of neuroblastoma. These neoplasms were considered to be Ewing's sarcoma of bone by radiologic examination and on clinical grounds, and light microscopy was consistent with the diagnosis in every case. It is suggested that the ultrastructural morphology of Ewing's sarcoma is broader than had been supposed and that the presence of dendritic processes in a small cell tumor of bone should not exclude the diagnosis of Ewing's sarcoma.