Pain in Ewing Sarcoma: A Complex Case Report

Abstract

Ewing sarcoma is a rare bone and tissue cancer which most commonly occurs in young adults and children. Survival rates are variable, recurrences common, and premature mortality a considerable burden despite aggressive multimodal cancer therapy. Pain is frequently experienced from the time of Ewing sarcoma diagnosis and even in favourable outcomes, chronic pain syndromes are not uncommon developments. However, the literature around the pain experience and pain-related distress, along with potential management strategies, is lacking. In this case report, we describe a patient with Ewing sarcoma of the right pelvis which was later complicated by developing secondary chondrosarcoma. This report will highlight the pain characteristics, syndromes, and challenges of pain management of a patient with Ewing sarcoma spanning multiple specialties and exploring key evolving concepts in cancer pain management.