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McCormack L, Bauer A, Anderson ME, Hussain S. Epithelioid Sarcoma Presenting in the Thumb of a Child. J Hand Surg Am 2022; 47:797.e1-797.e4. [PMID: 34243995 DOI: 10.1016/j.jhsa.2021.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 03/23/2021] [Accepted: 05/12/2021] [Indexed: 02/02/2023]
Abstract
Epithelioid sarcoma (ES) is a high-grade, soft tissue tumor of mesenchymal origin that rarely occurs in children and is often misdiagnosed as a benign entity. We present the case of a 12-year-old girl with a delayed diagnosis of ES of the left thumb. Radiological examination showed possible calcinosis from inflammation or traumatic injury. However, histopathological and immunohistochemistry studies showed findings consistent with a diagnosis of ES. She was treated with amputation of the interphalangeal joint of the left thumb. This case highlights the clinical and pathologic correlation required for the appropriate diagnosis and treatment of patients with soft tissue masses.
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Affiliation(s)
- Lindsay McCormack
- Dermatology Program, Boston Children's Hospital, Boston, MA; University of Massachusetts Medical School, University of Massachusetts, Worcester, MA
| | - Andrea Bauer
- Harvard Medical School, Harvard University, Boston, MA; Orthopedic Center, Boston Children's Hospital, Boston, MA
| | - Megan E Anderson
- Harvard Medical School, Harvard University, Boston, MA; Orthopedic Center, Boston Children's Hospital, Boston, MA
| | - Sadaf Hussain
- Dermatology Program, Boston Children's Hospital, Boston, MA; Harvard Medical School, Harvard University, Boston, MA.
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Maňáková T, Hojný J, Sedlář M, Vočka M, Chrz K, Mitáš P, Beneš J, Holaj R. Epithelioid sarcoma with retained INI1 expression as a cause of a chronic leg ulcer. SAGE Open Med Case Rep 2022; 10:2050313X221106259. [PMID: 35783671 PMCID: PMC9248042 DOI: 10.1177/2050313x221106259] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 05/24/2022] [Indexed: 12/02/2022] Open
Abstract
Epithelioid sarcoma is a rare soft-tissue sarcoma typically presenting itself as
a subcutaneous or deep dermal mass in distal portions of the extremities of
adolescents and young adults. They are frequently mistaken for ulcers,
abscesses, or infected warts resistant to standard medical treatment. Patients
often develop multiple local recurrences with subsequent metastases. We report a
case of a 66-year-old patient with chronic leg ulcer who died of generalization
of an epithelioid sarcoma.
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Affiliation(s)
- Tatjana Maňáková
- Institute of Pathology, General University Hospital in Prague, Prague, Czech Republic
- 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Jan Hojný
- Institute of Pathology, General University Hospital in Prague, Prague, Czech Republic
| | - Martin Sedlář
- 1st Department of Surgery, General University Hospital in Prague, Prague, Czech Republic
- 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Michal Vočka
- Department of Oncology, General University Hospital in Prague, Prague, Czech Republic
- 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Kristian Chrz
- 1st Department of Surgery, General University Hospital in Prague, Prague, Czech Republic
- 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Petr Mitáš
- 2nd Department of Cardiovascular Surgery, General University Hospital in Prague, Prague, Czech Republic
- 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Jiří Beneš
- Department of Radiodiagnostics, General University Hospital in Prague, Prague, Czech Republic
- 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
| | - Robert Holaj
- 3rd Department of Medicine, General University Hospital in Prague, Prague, Czech Republic
- 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
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