Ewing sarcoma is a malignant primitive neuroectodermal tumor, primarily affecting the long bones in young children and adolescents. It is a rare disease but is the most common malignancy of the chest wall, accounting for 6%–16% of chest wall cancers. We report a case of Ewing sarcoma of the rib presenting with massive hemothorax in a teenage boy, with rapid disease progression.
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