Ewing's Sarcoma of the Finger

Abstract

Ewing's sarcoma is a mesenchymal cell tumor usually seen in long bones but very rarely seen in the bones of a finger. Swelling and pain are the most common complaints of the affected finger. In radiological imaging, it may be seen as permeative bone destruction accompanied by a soft tissue component or an expansile bone lesion. A 27-year-old right-hand dominant female patient presented with a swelling on the proximal phalanx of her right 3rd finger that had existed for 3 years. However, the mass started to gradually increase in size and the pain worsened over a period of 5 weeks. The mass was excised under regional intravenous anesthesia and Ewing's sarcoma was confirmed following a histopathological evaluation. No local recurrence or metastasis was detected 1 year after surgery. Since Ewing's sarcoma is rarely seen in the finger, we present this case with its radiological and clinical findings.

A case report of small round cell tumor of palm: A difficult code to decipher on cytology

“…The patient received postoperative chemotherapy consisting of VAC + IE (cyclophosphamide, actinomycin, vincristine, ifosfamide, and etoposide). On follow-up after 1 year, no postoperative local recurrence or metastasis was detected [6] .…”

“…Pain and swelling are the most common complaints of the affected finger [6] . Clinically it presents with fever and increased ESR.…”

“…Regardless of the treatment method, the localization of the tumor on the hand is an important prognostic factor. When the distal parts of the extremities are affected, the survival rate is much higher [6] .…”

“…On X-ray, it may be confused with osteomyelitis due to bone destruction. Furthermore, tuberculous dactylitis is characterized by expansile lesions of the hand and the absence of periosteal reaction [6] .…”

Granulocytic sarcoma of finger: a case report

“…Local therapy (e.g., surgery or radiation therapy) can cure focal relapse, and early diagnosis is thus essential 2 . However, localization of the tumor on the hand is an important prognostic factor, regardless of the treatment method, given that the survival rate is much higher when the distal parts of the extremities are affected 9 .…”