Ewing's Sarcoma of the Hand following Recurrent Trauma a Case Report

Abstract

A case of Ewing's Sarcoma of the thumb is described. Four years after a fracture of the first metacarpal, followed by a series of repeated traumata to the area, a tumour was discovered. According to Ewing's criteria of trauma induced malignancy, this case is highly suggestive to have been caused by trauma.

Sarcome d'Ewing de la main : à propos d'un cas

“…L'aspect radiologique de cette tumeur au niveau de la main est celui d'une image kystique ou bien d'une image en nid d'abeille [4,5,9]. La réaction périostée faible au début, peut réaliser l'aspect caractéristique en bulbe d'oignon ou même l'image d'un triangle de Codman [10].…”

“…Il concerne le plus souvent le membre inférieur que le membre supérieur. La localisation classique à la main, se situe au niveau des métacarpes des doigts longs [4,5].…”

Ewing?s sarcoma and primitive neuroectodermal tumor of hand and forearm

“…To our knowledge, reports of only 43 patients with EWS of the hand have been published worldwide (Pandey 1972, Dick et al 1971, Dryer et al 1979, Dreyfuss et al 1980, Kedar et al 1984, Amico 1987, Besser et al 1987, Lacey et al 1987, Kozlowski et al 1988, Dick et al 1989, Frassica et al 1989, Strege et al 1989, Euler et al 1990, Hoeffel et al 1993, Ozaki et al 1995, Baraga et al 2001. Although the radiologic appearance of EWS in the hand has been well described, little is known about the prognosis of this highly malignant tumor , Amico et al 1987, Ozaki et al 1995, Baraga et al 2001).…”

“…Of all the tumors, 29 were located in the forearm (mean age 16.0 years, range 6-35) and four in the hand (mean age 11.3 years, range [6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Most tumors were located at the ulna (n=15) and radius (n=14).…”

Tumours and Tumour-Like Lesions of Bone

“…Typical clinical features are of pain and swelling and presentation may be acute or insidious. An antecedent history of trauma is uncommon (Dick et al 1971;Dreyfuss et al 1980). ES of the hand is most likely to occur in the metacarpal bones (Lacey et al 1987).…”