Ewings Sarcoma of the Hand—A Case Report

Journal of Hand and Microsurgery

Sandhya Sundaram²  Srinivasan Rajappa³  P. Gopinath Menon¹ 

[1] Department of Orthopedics, Sri Ramachandra Medical University, Porur, Chennai, 600 116 Tamil Nadu India;Department of Pathology, Sri Ramachandra Medical University, Porur, Chennai, 600 116 Tamil Nadu India;B – 2 Clinic, Sri Ramachandra Medical University, Porur, Chennai, 600 116 Tamil Nadu India

关键词: Ewings sarcoma;    Hand;    Dactylytis;   

DOI  :  10.1007/s12593-010-0016-5

学科分类：外科医学

来源: Thieme Medical and Scientific Publishers Pvt. Ltd.

【 摘 要 】

Ewings sarcoma of the hand is relatively rare. Ewings sarcoma can present with minimal pain and swelling of the affected digit. The Erythrocyte sedimentation rate and C-reactive protein may be high. Radiologically, Ewings sarcoma can present with a plethora of features from permeative bone destruction to expansile lesions with or without periosteal reaction. Because of these features, this can be confused with Tuberculosis especially in a country like ours where Tuberculosis is endemic. This leads to starting of inappropriate treatment and delay in diagnosis. We report a case of an 18 year old boy who was initially diagnosed as Tuberculous dactylytis of the proximal phalanx of the little finger. He was started on anti-tuberculous treatment and did not respond to it. Subsequent investigation in our centre which also included an open biopsy, confirmed the diagnosis of Ewings sarcoma. He was treated with ray excision, and chemotherapy. This case is being presented for its rarity and also to emphasize the fact that an open biopsy in suspected cases would be appropriate to confirm the diagnosis. This would prevent delay in diagnosis of rare conditions like Ewings sarcoma.

【 授权许可】

Unknown