Silent Malignant Occipital Swelling

Ewing's sarcoma commonly reported in long bones and pelvis. Primary Ewing's sarcoma of the cranium is rare. They behave differently from their counterpart involving the long bones. They usually respond well to chemotherapy and radiotherapy. We are discussing a case of pediatric Ewing's sarcoma primarily involving the occipital bone which was diagnosed late due to the lack of associated clinical features.