Diana Laila Ramatillah, Syed Wasif Gillani
Ewing's sarcoma is a malignant small, round, blue cell tumour1. It is a rare disease in which cancer cells are found in the bone or in soft tissue. The most common areas in which it occurs are the pelvis, the femur, the humerus, the ribs and clavicle (collar bone). Ewing Sarcoma is the second most common primary bone sarcoma with 900 new diagnoses per year in Europe (EU27) . Ewing's sarcoma in the United States is most common in the second decade of life, with a rate of 0.3 cases per million in children under 3 years of age, and as high as 4.6 cases per million in adolescents aged 15–19 years. Whereas cases very rarely occurringin African or Asian populations 11,12,13,14. Internationally the annual incidence rate averages less than 2 cases per million children.