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Srpski arhiv za celokupno lekarstvo 2015 Volume 143, Issue 9-10, Pages: 619-622
https://doi.org/10.2298/SARH1510619M
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Peripheral primitive neuroectodermal tumor of the small bowel mesentery: Report of a case

Marić Helena (University Hospital of Foča, Second Surgery Clinic, Foča, Bosnia and Herzegovina + Faculty of Medicine, Novi Sad)
Cvijanović Radovan (Clinical Center of Vojvodina, Clinic of Abdominal, Endocrine and Transplantation Surgery, Novi Sad)
Ivanov Igor (Cardiovascular Diseases Institute of Vojvodina, Sremska Kamenica)
Gvozdenović Ljiljana (Clinical Center of Vojvodina, Clinic of Anesthesiology and Resuscitation, Novi Sad)
Ivanov Dejan (Clinical Center of Vojvodina, Clinic of Abdominal, Endocrine and Transplantation Surgery, Novi Sad)
Lalović Nenad (University Hospital of Foča, Second Surgery Clinic, Foča, Bosnia and Herzegovina + Faculty of Medicine, Novi Sad)

Introduction. Primitive neuroectodermal tumor or Ewing’s sarcoma is a tumor of undifferentiated small round cells that arise from the soft tissues, and is believed to be of neural origin. It occurs most often in children, followed by adolescents and young adults. Case Outline. A case of a 24-year-old patient with ulcerostenosans Ewing’s sarcoma of the initial part of the small intestine is presented in our paper. Reviewing the literature and using as an example the case of a female patient with signs of sideropenic anemia caused by primitive neuroectodermal tumor of the small intestine, an attempt was made to clarify the etiology, clinical presentation, diagnosis and therapy with the aim of its rapid detection and treatment. Conclusion. Mesenteric primitive neuroectodermal tumor is a rare neoplasm in adults, while it usually occurs in children and young adults. Surgical resection of the lesions with the application of chemotherapy is the main form of treatment of patients suffering from this disease.

Keywords: Ewing’s sarcoma, neural origin, symptoms, diagnosis, treatment