Beyond the Usual Suspects – An Atypical Bone Marrow Presentation of Ewing Sarcoma: A Case Report

Authors

  • Hari Priya Raghvan Hospital Sultanah Aminah, Johor Bahru, Johor, Ministry of Health, Malaysia
  • Wee Shiang Yui Hospital Sultanah Aminah, Johor Bahru, Johor, Ministry of Health, Malaysia
  • Caroline Ho Siew Ling Hospital Sultanah Aminah, Johor Bahru, Johor, Ministry of Health, Malaysia
  • Sharllina Prasad Hospital Sultanah Aminah, Johor Bahru, Johor, Ministry of Health, Malaysia
  • Ehram Jamian Hospital Sultanah Aminah, Johor Bahru, Johor, Ministry of Health, Malaysia
  • Indhira Subbiah Hospital Sultanah Aminah, Johor Bahru, Johor, Ministry of Health, Malaysia
  • Noraida Khalid Hospital Sultanah Aminah, Johor Bahru, Johor, Ministry of Health, Malaysia

Keywords:

ewing’s sarcoma; hypercalcemia; small round blue cell tumor

Abstract

Ewing sarcoma (ES) is a malignancy that occurs in childhood and young adolescent and has a predilection for certain site such as femur. This case is an atypical presentation of ES diagnosed through bone marrow examination in a young adult. We present a case of Ewing Sarcoma with bone marrow involvement in a young male who initially had hypercalcemia with back pain and was initially thought to have Plasma Cell Myeloma. This case highlights the diagnostic challenge posed by marrow-infiltrating ES when clinical and biochemical findings mimic Plasma Cell Myeloma. Awareness of this rare presentation is critical for early diagnosis and management.

Bangladesh Journal of Medical Science Vol. 25 No. 04 October’26 Page: 1361-1365

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Published

2026-10-02

Issue

Vol. 25 No. 4 (2026)

Section

Case Reports

License

Copyright (c) 2026 Hari Priya Raghvan, Wee Shiang Yui, Caroline Ho Siew Ling, Sharllina Prasad, Ehram Jamian, Indhira Subbiah, Noraida Khalid

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How to Cite

Raghvan, H. P., Yui, W. S., Ling, C. H. S., Prasad, S., Jamian, E., Subbiah, I., & Khalid, N. (2026). Beyond the Usual Suspects – An Atypical Bone Marrow Presentation of Ewing Sarcoma: A Case Report. Bangladesh Journal of Medical Science, 25(4), 1361-1365. https://doi.org/10.3329/bjms.v25i4.93803