Guidelines and literature:
Ewing sarcoma is a highly malignant and aggressive primary bone and soft tissue tumor. It usually affects patients in their second decade of life. Diagnosing such a condition usually holds a challenge as these tumors present with clinical features shared with other illnesses such as osteomyelitis and fibrous dysplasia. Imaging can reveal some findings indicative of Ewing’s sarcoma, but adequate and satisfactory biopsy is considered key to diagnosis. Multidisciplinary approach to management is of par important to avoid missed diagnosis, maltreatment and catastrophic outcome. metastasis hold a poor prognosis and reported in 20-25% of patients at presentation. This case has been reported in line with the SCARE criteria.