HAND 11(1S) disease. All 3 had been given radiotherapy and 2 were given chemotherapy. The duration of disease before death in these cases was 185, 197, and 30 months. There seemed to be no apparent correlation between the duration of symptoms and disease progression. A case treated 6 months after onset experienced multiple metastases and died 22 months after diagnosis, while cases of more than 10 years of duration are currently CDF or AWD. As surgery still seems to be the only curative option, early diagnosis and immediate treatment before metastasis are advisable. Conclusions: ES is not only rare, but does not always present as a typical sarcoma. Misdiagnosis is common, and in some instances, the mistake may be fatal. This tumor should be kept in mind when observing and treating a seemingly benign skin lesion that is taking time to heal.
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