Ewing's sarcoma (ES) named after Dr. James wing in 1921; he was the first man identified the disease that uncontrollably destroys the bone or body tissue of the human body (Randall, n.d.). ES is a disseminated small round neoplasm, which commonly occurs in the bones and unusually in body tissue (Iwamoto, 2007). ES is the second leading tumor in the bone of children between the age of ten and twenty years old, and the occurrence is slightly more in male than female (Iwamoto, 2007). ES affects the femur, tibia, pelvis, humerus and thoracic wall, but it can affect any bone (Jedlicka, 2010; Miser et., 2010). The term paper provided the general outline; diagnostic imaging used, research and role of physical therapist related to ES.
ES is a significant malignant bone tumor, and the disease is originated from a red bone marrow, which occur in children and adolescent (Lemons, n.d.). The skeletal region most …show more content…
San-Julian, Aquerreta, Benito & Cañadell (1999) reported in one study, which showed that MRI has 90.3 percent of the accuracy with a positive predictive value and negative predictive value in staging patients with possible ES. MRI provides a clear view of the extent and localization of the bone tumors, such as the severity of bone tumor and the connection of the impairment of the blood vessels and nerves (Iwamoto, 2007). Furthermore, MRI able to identify or assess the expansion of soft tissue or cell growth, which extend beyond the area indicated by plain x-ray film (Iwamoto, 2007). According to Lemons (n.d.), MRI and CT scan are problematic in differentiating ES and other similar in nature of a disease. However, MRI able to identify an ES lesion in patients of a particular age group in comparison to other kinds of cancer, such as osteosarcoma, fibrosarcoma and other malignant tumors (Lemons