Journal of the Bahrain Medical Society

Year 2023, Volume 35, Issue 1, Pages 68-74

https://doi.org/10.26715/jbms.35_1_9

Case Report

Epithelioid Sarcoma of the Skull: A Differential Diagnostic Approach

Hazem Muhammed Almasarei1 , Darine Helmy Amin Saad2, Suad Muhammad Abu Tahoun3, Sufyan Sameer Sami Alsbahi4, Nandan Maruti Shanbhag5

Author Affiliation

1Diagnostic & Interventional Radiologist, Canadian Specialist Hospital, Abu Hail Road, Behind Ministry of Environment and Water, P.O.Box: 15881, Dubai, UAE

2Researcher Radiologist, Anthropology Biology Department, National Research Center, Cairo, Egypt.

3Radiology, Dubai, UAE

4Radiology, Amman, Jordan

5Radiation Oncologist, UAE; Email:onco@drnandan.com

*Corresponding author:

Dr. Nandan Maruti Shanbhag, Radiation Oncologist, UAE; Email:onco@drnandan.com

Received date: June 15, 2022; Accepted date: November 28, 2022; Published date: March 31, 2023

For tables and figures, please refer to PDF.


Abstract

Epithelioid sarcoma of the scalp as a primary site of origin is a rare occurrence a and has a broad differential diagnosis. The radiological features for each of the differential diagnoses are similar but sometimes can be very unique. The present case study provides relevance and significance in considering the possibility of primary epithelioid sarcoma while examining benign lumps with no skin ulceration or pain. The case report focuses on imaging features of epithelioid sarcoma while employing to describe the lesion using multimodality imaging in addition to Computer Tomography, early intervention in the form of complete excision of these tumours through surgery and primary repair when required. Adequate adjuvant treatment is needed following the excision, with the goal of preventing recurrences.

Keywords: Epithelioid Sarcoma, Skull imaging, Osteomyelitis.