Pediatric Epithelioid Sarcoma

Etiology: high grade soft tissue tumor
Imaging: soft tissue mass with variable appearance
Complications: metastasize most commonly to lymph nodes and lungs
Clinical: may present as a non-healing skin ulcer

Radiology Cases of Epithelioid Sarcoma

CT of epithelioid sarcoma with pulmonary metastases — Axial CT without contrast of the chest with soft tissue (above) and lung (below) windows shows a heterogeneous mass contiguous with the rectus muscles and anterior to the lower sternum which appears to be eroding into the sternum along with multiple peripheral pulmonary soft tissue nodules.