<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152022000300083</article-id>
<article-id pub-id-type="doi">10.29352/mill0219.28093</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Ewing's sarcoma in the 5th rib - case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Sarcoma de ewing no 5º arco costal - relato de caso]]></article-title>
<article-title xml:lang="es"><![CDATA[Sarcoma de ewing en la 5ª costilla - reporte de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[Fábio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Maria José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Boto]]></surname>
<given-names><![CDATA[Tânia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Dão Lafões USF Infante D. Henrique ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2022</year>
</pub-date>
<numero>19</numero>
<fpage>83</fpage>
<lpage>88</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152022000300083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152022000300083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152022000300083&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Development - Case Report:  A 39-year-old woman consulted her general practitioner with complaints of chest pain with 2 weeks of evolution, which presented itself after physical exercise, and was therefore treated as muscle straining. She felt localized chest discomfort for 3 months, occasionally taking analgesics. She once again visited the health center due to increased pain. The pain was more severe in decubitus position and at night, associated with awakenings and dyspnea. This motivated the physician to perform an X-ray, which identified a 6.5 cm mass in the 5th costal arch. A biopsy was performed at a hospital and Ewing's sarcoma was diagnosed. After diagnostic examination (CT scan and body Scintigraphy) and in the absence of metastases, the patient underwent chemotherapy and total costectomy. She is currently undergoing rehabilitation, with follow-ups at the cancer center and primary health care.  Conclusion:  Nonspecific symptomatology can lead to a delay in the diagnosis and treatment of Ewing&#8217;s sarcoma. The presentation of this case aims to alert for the existence of this pathology, and the importance of both anamnesis and warning signs during clinical evaluation, thus contributing to an early prognosis and treatment. The prognosis of Ewing&#8217;s sarcoma fundamentally depends on whether the disease is localized or metastasized. The therapeutic evolution has increased survival chances, which implies an adequate follow-up of relapses and the after-effects of treatments.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O sarcoma Ewing é um tumor ósseo maligno e pouco comum. A raridade da patologia, a sua localização, o surgimento num adulto do sexo feminino e o atraso no diagnóstico levou à necessidade de publicação deste relato de caso.  Desenvolvimento - Descrição do caso:  Mulher de 39 anos que recorreu ao seu médico de família por toracalgia após esforço físico e com duas semanas de evolução, pelo que foi tratada como estiramento muscular. Durante 3 meses manteve sempre desconforto torácico localizado, usando ocasionalmente analgésicos. Recorreu de novo ao centro de saúde por aumento da intensidade da dor em decúbito e no período noturno, com dispneia e despertares associados. O quadro clínico motivou o médico à realização de radiografia, que identificou massa de 6,5 cm no 5º arco costal. A nível hospitalar realizou biópsia e foi diagnosticado um sarcoma de Ewing. Após exames complementares (TAC e Cintigrafia corporal) e na ausência de metástases, realizou quimioterapia e costectomia total. Atualmente encontra-se em reabilitação, com seguimento no centro oncológico e nos cuidados de saúde primários.  Conclusão:  A sintomatologia inespecífica pode levar a um atraso no diagnóstico e tratamento do sarcoma Ewing. Com a apresentação deste caso pretende-se alertar para existência desta patologia, da importância da anamnese e dos sinais de alarme na avaliação clínica, contribuindo, assim, para um diagnóstico e tratamento precoces. O prognóstico do sarcoma Ewing depende fundamentalmente da doença estar localizada ou metastizada. A evolução terapêutica aumentou a sobrevida, o que implica um seguimento adequado das recidivas e das sequelas do tratamento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El sarcoma de Ewing es un tumor óseo infrecuente y maligno. La rareza de la patología, su localización, la aparición en una mujer adulta y la demora en el diagnóstico llevaron a la necesidad de publicar este reporte de caso.  Desarrollo - Reporte de caso:  Mujer de 39 años que acude a su médico de familia por dolor torácico de 2 semanas de evolución que aparece tras esfuerzo físico, por lo que se trata como una distensión muscular. Durante 3 meses mantuvo siempre molestias torácicas localizadas, utilizando ocasionalmente analgésicos. Acude de nuevo al centro de salud por aumento del dolor en decúbito y nocturno, con disnea y despertares asociados. El cuadro clínico motivó al médico a realizar una radiografía, en la que se identificó una masa de 6,5 cm en el 5º arco costal. A nivel hospitalario se le realizó una biopsia y se diagnosticó un sarcoma de Ewing. Debido a la ausencia de metástasis, se realizó quimioterapia y costectomía total. Actualmente se encuentra en rehabilitación, con seguimiento en el centro oncológico y atención primaria de salud.  Conclusión:  La sintomatología inespecífica puede conducir a un retraso en el diagnóstico y tratamiento del sarcoma de Ewing. Así, este caso sirve para advertir de la existencia de esta patología, la importancia de la anamnesis y los signos de alarma en la evaluación clínica. El pronóstico del sarcoma de Ewing depende fundamentalmente de si la enfermedad es localizada o metastásica. La evolución terapéutica ha aumentado la supervivencia, lo que implica un adecuado seguimiento de las recaídas y secuelas del tratamiento.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[sarcoma, Ewing]]></kwd>
<kwd lng="en"><![CDATA[chest pain]]></kwd>
<kwd lng="en"><![CDATA[dyspnea]]></kwd>
<kwd lng="en"><![CDATA[ribs]]></kwd>
<kwd lng="pt"><![CDATA[sarcoma, Ewing]]></kwd>
<kwd lng="pt"><![CDATA[dor torácica]]></kwd>
<kwd lng="pt"><![CDATA[dispneia]]></kwd>
<kwd lng="pt"><![CDATA[costela]]></kwd>
<kwd lng="es"><![CDATA[sarcoma]]></kwd>
<kwd lng="es"><![CDATA[Ewing]]></kwd>
<kwd lng="es"><![CDATA[olor de pecho]]></kwd>
<kwd lng="es"><![CDATA[disnea]]></kwd>
<kwd lng="es"><![CDATA[costilla]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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