These clinical data obtained in three independent cohorts of EWS patients are in conformity with a recent report on pancreatic ductal adenocarcinoma [37] and a previous observation in neuroblastoma [38], but in sharp contrast with the general idea that overexpression of ABC transporters is associated with more pronounced malignancy and drug resistance due to their capabilities to export drugs or toxins (through their canonical function of detoxification) [39]. The gene discussed is EWSR1; the disease is pancreatic ductal adenocarcinoma.