Ewing sarcoma - middle finger

Case contributed by Dr Hani Salam

Presentation

History of swelling of the third digit of the right hand for 6 years.

Patient Data

Age: 30 years
Gender: Male
X-ray

Right hand

A destructive soft tissue mass lesion is noted epicentered on the middle phalanx of the right hand, which shows near total destruction. Its remnants show expansion and marked osteolytic changes. This is also involving the distal half of the proximal phalanx, showing mild expansion, osteolysis with prominent trabeculae.

MRI

Right hand

Soft tissue mass lesion is noted replacing the middle phalanx of the middle finger of the right hand with intense postcontrast enhancement. It is also involving the medullary cavity of the proximal phalanx.

Nuclear medicine

Increased uptake of the middle finger osteolytic destructive soft tissue mass lesion.

Case Discussion

Pathologically proved Ewing sarcoma.

Ewing's sarcoma of the finger is very rare and, pain & swelling of the affected finger are the most frequent presenting features.

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Case information

rID: 7995
Published: 29th Dec 2009
Last edited: 9th Dec 2019
Inclusion in quiz mode: Included

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