Pelvic Ewing's Sarcoma Presenting with Adnexal Mass in an Adolescent Girl- A Case Report

Adnexal masses are frequently observed finding in women attending gynecological OPD. An adnexal mass may be found in females of all ages- infants to elderly. The reported prevalence varies widely depending upon the population studied and criteria employed. Anatomically the adnexa consist of the ovaries, fallopian tubes, broad ligament, and the structures within the broad ligament. The adnexal mass most frequently involves the ovaries. Benign functional cysts of ovaries like follicular cyst, corpus luteal cyst, theca leutin cyst and polycystic ovaries may present with adnexal mass. Endometriomas, benign and malignant ovarian tumors are other ovarian causes of adnexal SOL. The mass may arise from the tubes and the uterus also. In certain instances, the mass is clinically indeterminate and may be due to nongynecological causes when arising from the bladder, bowel abdominal wall or retroperitoneum. Adnexal masses may be symptomatic or discovered incidentally during a routine pelvic examination in an asymptomatic patient. The correct diagnosis of the mass is of immense importance to decide upon the mode of treatment. Here we present a case of pelvic Ewing’s Sarcoma presenting with a big adnexal SOL in an adolescent girl where