A rare case of hemophilia with Ewing’s sarcoma - A case report
Malignancies are rare in children with inherited coagulation disorders like hemophilia except for non-Hodgkin’s lymphoma and liver malignancies in hepatitis C positive hemophiliacs. Ewing sarcoma of bone is the second most common primary malignant bone cancer in children and adolescents; particularly, the extra skeletal variety. There is limited data available in the literature reporting hemophilia with Ewing’s sarcoma. The authors report a case of 16-year-old boy with hemophilia A, who was diagnosed to have pelvic Ewing’s sarcoma, which is a rare occurrence. This case could have been mistaken for hemophilic pseudotumor because of the non-specific clinical presentation. Magnetic resonance imaging and open biopsy helped to arrive at a diagnosis. The patient is now being treated with chemotherapy and radiotherapy.