A Ewing's sarcoma from an early medieval hillside in Westphalia

H. Löwen


In 1991, three human skeletons were recovered at a medieval hillside on Westphalia, and special emphasis was placed on paleopathologic analysis. Two skeletons showed only degenerative changes of the joints and vertebrae, but the right ulna of the third has a spindle-shaped thickening on the distal thrid of the diaphysis; radiographs show a healed fracture. A spongy structure built by spiculae could be seen both macroscopically and radiographically inside the diaphysis. The x-ray shows osteolytic changes of the compacta and the spongiosa of the ulna. They could have been caused by Ewing's sarcoma, which is proposed as the differential diagnosis.

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