Bone marrow metastases or stage IV disease please share more reports for further advice

Ewing's tumor will need surgery or radiation therapy depending on site. I need to see all reports to give opinion. Please share your reports with me.

Surgical removal of tumor is advised if the surgery is simple and it doesn't lead to disfunction of the limb. Any surgery with complete removal of tumor with preservation of limb function is better than radiation. Radiation is better when you expect some function loss or risk of damaging critical structures like vessel or nerve. But more important is timing of surgery or Radiation around 9th week after treatment.

Please attach all available details to give a better opinion